DIABETES WELLNESS CENTER A NURSING CORPORATION NPI 1487653036

NPI Information

DIABETES WELLNESS CENTER, A NURSING CORPORATION is a nutrition and metabolic dietitian registered in Pismo Beach, CA. DIABETES WELLNESS CENTER, A NURSING CORPORATION NPI is 1487653036. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

855 4TH ST
#2
PISMO BEACH, CA
ZIP 93449-102
Phone: (805) 773-3130
Fax: (805) 773-3120

The provider's authorized official is Kristina N Dilworth .
The authorized official title is President and has the following contact phone number (805) 773-3130.

The enumeration date for this NPI number is 7/16/2005 and was last updated on 5/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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