Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X |
| NPI # | 1164534095 |
| LBN Legal business name | DIABETIC NUTRITIONAL EDUCATION |
| Authorized official | KEVIN ELLIS - (CHIEF MEDICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/31/2006 |
| Last updated | 01/28/2014 - About 12 years ago |
| Identifiers | n/a |
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