| NPI | 1578049003 |
|---|---|
| Doing Business As | FIRSTHEALTH MOORE DIABETES PREVENTION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LYNN S DEJACO CFO 910-715-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-19 |