Organization
MEDICAL NUTRITION THERAPY ASSOCIATES LLC
Active
Organization
MEDICAL NUTRITION THERAPY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON LESLEY WERNER RD (REGISTERED DIETITIAN)
(860) 677-4429
Entity
Organization
Contact information
Practice address
6 RAYMOND RD, AVON, CT 06001-3629
(860) 677-4429
(860) 677-4429
Mailing address
6 RAYMOND RD, AVON, CT 06001-3629
(860) 677-4429
(860) 677-4429
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0003927994
CT
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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