Organization
WELLNESS HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE PARAGANO L.AC. (LICENSED ACUPUNCTURIST/ MANAGER)
(203) 980-5822
Entity
Organization
Contact information
Practice address
340 WHITNEY AVE, NEW HAVEN, CT 06511-2317
(203) 980-5822
Mailing address
340 WHITNEY AVE, NEW HAVEN, CT 06511-2317
(203) 980-5822
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000572
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000572
CONNECTICUT DEPARTMENT OF HEALTH
CT
Enumeration date
06/28/2016
Last updated
06/28/2016
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