Individual
STEPHANIE LYNNETTE PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
640 MAIN ST, WATERTOWN, CT 06795-2614
(860) 945-1004
Mailing address
127 COOPER PL, NEW HAVEN, CT 06515-1860
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
642
CT
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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