| NPI | 1841594827 |
|---|---|
| Doing Business As | DIABETES WELLNESS GATHERING PROGRAM |
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON VP Finance 907-729-4939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 132700000X Dietary Manager (Licence: AK 20467) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2016-01-28 |