NPI Profile for TIA C LABONVILLE in BERLIN, NH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X |
| NPI # | 1699487660 |
|
| Status | Active | |
| Credentials | RN, CDCES | |
| Entity | Individual | |
| Enumeration date | 12/21/2022 | |
| Last updated | 12/21/2022 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TIA C LABONVILLE
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