One Source Nutrition, LLC
NPI #1871504142 in Norwalk, Connecticut
Provider Information
- NPI Number
- 1871504142
- Entity Type
- Organization
- Organization Name
- One Source Nutrition, LLC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Aug 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 301 MERRITT 7
- Address 2
- WELLNESS CENTER
- City
- Norwalk
- State
- Connecticut
- ZIP Code
- 06851-1070
- Phone
- (203) 604-0202
Authorized Official
- Name
- MR. DONALD MILTON STOKES, MPH, RD, CDN
- Title
- OWNER
- Phone
- (917) 697-7614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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