| NPI | 1437703204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BERTAGNOLLI Organization Owner 573-821-6418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |