Organization
FAMILY WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE ANN KINIK D.C., (OWNER)
(203) 225-9977
Entity
Organization
Contact information
Practice address
702 BRIDGEPORT AVE, SUITE 305, SHELTON, CT 06484-4770
(203) 225-9977
(203) 225-9978
Mailing address
702 BRIDGEPORT AVE, SUITE 305, SHELTON, CT 06484-4770
(203) 225-9977
(203) 225-9978
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1410
CT
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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