Provider First Line Business Practice Location Address:
515 BRIDGEPORT AVE
Provider Second Line Business Practice Location Address:
JOURNEY TO WELLNESS SUITE
Provider Business Practice Location Address City Name:
SHELTON
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06484
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-814-8113
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/08/2018