NPI | 1740344100 |
---|---|
Doing Business As | PROVIDENCE DIABETES & NUTRITION PROGRAM |
Entity Type | Organization |
Authorized Contact | JOYCE KOBAYASHI Dir Revenue Cycle Mgmt Nwsa 425-317-0186 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
133N00000X Nutritionist | |
Enumeration Date | 2006-12-20 |
Last Update Date | 2008-09-23 |