Aim100nutrition, LLC

NPI #1407175706 in Manchester, Connecticut

Provider Information

NPI Number: 1407175706
Entity Type: Organization
Organization Name: Aim100nutrition, LLC
Primary Specialty: Naturopath
Enumeration Date: May 26, 2010
Last Updated: May 26, 2010

Practice Location

Address: 272 MAIN ST
City: Manchester
State: Connecticut
ZIP Code: 06042-3536
Phone: (860) 649-6944

Authorized Official

Name: DR. PATRICK DORVILUS, M.D.
Title: MEDICAL DIRECTOR
Phone: (860) 649-6944

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Naturopath	175F00000X	Primary

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