Organization
MENDING ROOTS NATUROPATHY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE WOOMER ND, L.AC (OWNER)
(203) 442-6297
Entity
Organization
Contact information
Practice address
117 RIVER ST UNIT B, MILFORD, CT 06460-3315
(203) 442-6297
(833) 520-5011
Mailing address
2 RIMMONDALE ST FL 2, SEYMOUR, CT 06483-2931
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790226421
—
CT
Enumeration date
01/27/2021
Last updated
09/16/2021
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