Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 000424 | CT |
NPI | 1144662511 |
---|---|
Provider Name | Veena A Verma-Dzik |
First Address | Wilton, CT 06897-1530 |
Second Address | Norwalk, CT 06851-4720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2013 |
Last Update Date | 20/08/2014 |