Organization
REBOOT DRIP THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN GRANT RN (OWNER)
(914) 426-6302
Entity
Organization
Contact information
Practice address
2389 MAIN ST STE 100, GLASTONBURY, CT 06033-4617
(914) 426-6302
Mailing address
2389 MAIN ST STE 100, GLASTONBURY, CT 06033-4617
(914) 426-6302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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