Organization
REFORMED NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUNTER BAHRE RD (OWNER)
(860) 299-6000
Entity
Organization
Contact information
Practice address
220 ALBANY TURNPIKE, UNIT 1, CANTON, CT 06019
(860) 299-6000
Mailing address
222 MAIN ST STE 276, FARMINGTON, CT 06032-3623
(860) 299-6000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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