| NPI | 1952092991 |
|---|---|
| Doing Business As | DIABETESRN |
| Entity Type | Organization |
| Authorized Contact | JADE GIANAKOPOULOS Credentialing Manager 937-206-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-05-19 |