Diabetes Association of St Joseph County INC

NPI #1235320540 in Granger, Indiana

Provider Information

NPI Number
1235320540
Entity Type
Organization
Organization Name
Diabetes Association of St Joseph County INC
Primary Specialty
Registered Nurse - Diabetes Educator
Enumeration Date
Aug 5, 2007
Last Updated
Aug 5, 2007

Practice Location

Address
6910 NORTH MAIN ST
Address 2
BUILDING 9
State
Indiana
ZIP Code
46530
Phone
(574) 247-6047

Authorized Official

Name
BONITA A RAINE, PH.D.
Title
EXECUTIVE DIRECTOR
Phone
(574) 247-6047

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Diabetes EducatorDiabetes Educator

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