Organization
RENEWED HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AWILDA ALTAGRACIA LUGO MENDEZ NURSE PRACTITIONER (MANAGING MEMBER)
(203) 510-1187
Entity
Organization
Contact information
Practice address
31 SUMMIT RD, PROSPECT, CT 06712-1442
(203) 510-1187
Mailing address
31 SUMMIT RD, PROSPECT, CT 06712-1442
(203) 510-1187
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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