Organization
RENEWED HEALTH AND WELLNESS LLC
Active
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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