Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X |
| NPI # | 1073106233 |
| LBN Legal business name | GUIDEWELL SANITAS I, LLC |
| Authorized official | JUAN ESTRADA - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/18/2021 |
| Last updated | 02/06/2024 - About 2 years ago |
| Identifiers | n/a |
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