Organization
A NATURAL IMAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA JEAN GENTILCORE (STORE OWNER)
(860) 432-7773
Entity
Organization
Contact information
Practice address
694 HARTFORD RD, MANCHESTER, CT 06040-4722
(860) 432-7773
(860) 432-7318
Mailing address
694 HARTFORD RD, MANCHESTER, CT 06040-4722
(860) 432-7773
(860) 432-7318
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
07/10/2008
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