Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X |
| NPI # | 1154013373 |
| LBN Legal business name | CONNECT CARE MEDICAL LLC |
| Authorized official | CHARLES BAINES - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/25/2023 |
| Last updated | 06/01/2023 - About 3 years ago |
| Identifiers | n/a |
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CONNECT CARE MEDICAL LLC
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