Organization
CENTER FOR NATURAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN RAISTRICK N.D. (PHYSICIAN)
(860) 945-1004
Entity
Organization
Contact information
Practice address
640 MAIN ST, WATERTOWN, CT 06795-2614
(860) 945-1004
Mailing address
640 MAIN ST, WATERTOWN, CT 06795-2614
(860) 945-1004
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000124
CT
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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