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Organization

GRANT'S NUTRITION AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANE M GRANT RD (OWNER)
(860) 357-2282
Entity
Organization

Contact information

Practice address
37 WEBSTER SQUARE RD, BERLIN, CT 06037-2326
(860) 357-2282
(860) 357-2555
Mailing address
37 WEBSTER SQUARE RD, BERLIN, CT 06037-2326
(860) 357-2282
(860) 357-2555

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1199
CT

Other

Enumeration date
05/14/2016
Last updated
05/14/2016
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