Organization
ONE SOURCE NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD MILTON STOKES MPH, RD, CDN (OWNER)
(917) 697-7614
Entity
Organization
Contact information
Practice address
301 MERRITT 7, WELLNESS CENTER, NORWALK, CT 06851-1070
(203) 604-0202
(203) 604-0204
Mailing address
668 GLENBROOK RD APT 33, STAMFORD, CT 06906-1434
(917) 697-7614
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
000764
CT
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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