Organization
INTEGRATIVE HEALTHCARE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE LUIS LATORRE JR. DNP (CO-FOUNDER)
(203) 673-2061
Entity
Organization
Contact information
Practice address
4699 MAIN ST, BRIDGEPORT, CT 06606-1830
(203) 673-2061
Mailing address
53 COLUMBINE DR, TRUMBULL, CT 06611-4601
(203) 673-2061
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
05/05/2022
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