Organization
EMILY BOSTROM NUTRITION PLLC
Active
Organization
EMILY BOSTROM NUTRITION PLLC
Active
Other names
Emily Gerdner Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY GERDNER RD (OWNER)
(609) 558-2405
Entity
Organization
Contact information
Practice address
331 SHELTON RD, TRUMBULL, CT 06611-5134
(609) 558-2405
Mailing address
331 SHELTON RD, TRUMBULL, CT 06611-5134
(609) 558-2405
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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