Colon Me Clean

NPI #1902962459 in Fort Worth, Texas

Provider Information

NPI Number: 1902962459
Entity Type: Organization
Organization Name: Colon Me Clean
Primary Specialty: Naturopath
Enumeration Date: Dec 29, 2006
Last Updated: Jun 19, 2008

Practice Location

Address: 2236 E LOOP 820
City: Fort Worth
State: Texas
ZIP Code: 76112-4013
Phone: (817) 451-0911

Authorized Official

Name: MRS. YVONNE H. THOMAS, RMA
Title: COLON HYDROTHERAPY
Phone: (817) 366-0485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Naturopath	175F00000X	Primary

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