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Organization
DIABETES SELF MANAGEMENT CONSULTANTS
Active
Organization
DIABETES SELF MANAGEMENT CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISA GAYLE SOLESBEE RN, CDE (CEO, REGISTERED NURSE)
(907) 486-0466
Entity
Organization
Contact information
Practice address
2490 SPRUCE CAPE RD, KODIAK, AK 99615-6614
(907) 486-0466
(907) 486-2907
Mailing address
PO BOX 8844, KODIAK, AK 99615-8844
(907) 486-0466
(907) 486-2907
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
294
AK
163WD0400X
Diabetes Educator Registered Nurse
22551
AK
Other
Enumeration date
04/12/2013
Last updated
08/08/2013
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