NPI Profile for SUSAN E DITTES in SWANTON, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Administrator |
163WA2000X | |||
Diabetes Educator |
163WD0400X |
| NPI # | 1699214650 |
|
| Status | Active | |
| Credentials | LPC, RN, CDE | |
| Entity | Individual | |
| Enumeration date | 02/22/2017 | |
| Last updated | 02/22/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SUSAN E DITTES
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