# SAN ANGELO'S NUTRITION & DIABETIC EDUCATION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932403573
- **Authorized official:** MELANIE L BAUMGARTNER (ADMINISTRATOR)
- **Authorized official phone:** (325) 212-0319

## Contact information

- **Practice address:** 2901 SHERWOOD WAY, SUITE 100, SAN ANGELO, TX 76901-3586
- **Practice address phone:** (325) 212-0319
- **Mailing address:** 2901 SHERWOOD WAY, SUITE 100, SAN ANGELO, TX 76901-3586
- **Mailing address phone:** (325) 212-0319
- **Mailing address fax:** (325) 617-2497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | — | Yes |

## Other

- **Enumeration date:** 12/22/2010
- **Last updated:** 12/22/2010