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Organization
DIABETES SELF CARE MANAGEMENT INSTITUTE, LLC
Active
Organization
DIABETES SELF CARE MANAGEMENT INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE RAY MADIKOTO CFNP (PROVIDER)
(301) 245-3082
Entity
Organization
Contact information
Practice address
3311 TOLEDO TER STE B103, HYATTSVILLE, MD 20782-8146
(301) 245-3082
(301) 978-7986
Mailing address
3311 TOLEDO TER STE B103, HYATTSVILLE, MD 20782-8146
(301) 245-3082
(301) 978-7986
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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