Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X | |||
Health Educator |
174H00000X |
| NPI Number | 1205139185 |
||||||||
| LBN Legal business name | DIABETES1ON1 | ||||||||
| Authorized official | RAMON ARCE - (CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 12/14/2010 | ||||||||
| Last updated | 01/03/2011 - About 15 years ago | ||||||||
| Identifiers |
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