Organization
OUELLETTE NUTRITION LLC
Active
Other names
Common Roots Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OUELLETTE RDN, CDN (OWNER/MANAGING MEMBER)
(860) 222-0867
Entity
Organization
Contact information
Practice address
22 CARSON WAY, SOUTH WINDSOR, CT 06074-1847
(860) 222-0867
Mailing address
22 CARSON WAY, SOUTH WINDSOR, CT 06074-1847
(860) 222-0867
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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