OrganizationActive
Aim100nutrition, LLC
NPI 1407175706 · Naturopath · Manchester, CT
Provider details
- NPI number
- 1407175706
- Entity type
- Organization
- Primary specialty
- NaturopathOther Service Providers
- Organization subpart
- No
- Authorized official
- Patrick Dorvilus, Medical Director(860) 649-6944
Specialties & taxonomies
Other Service Providers
Practice location
272 Main St
Manchester, CT 06042-3536
Phone: (860) 649-6944
Approximate (ZIP-level) locationGet directions
Mailing address
272 Main St
Manchester, CT 06042-3536
Other names (DBA / former)
- Doing business as
- Aim100nutrition.com
Registry dates
- Enumerated
- 2010-05-26
- Last updated
- 2010-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.