Individual
DR. JONATHAN SCOTT RAISTRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
640 MAIN ST, WATERTOWN, CT 06795-2614
(860) 945-1004
(860) 945-9988
Mailing address
640 MAIN ST, WATERTOWN, CT 06795-2614
(860) 945-1004
(860) 945-9988
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000124
CT
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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