Organization
DIABETES WELLNESS CENTER, A NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA N DILWORTH RN, MS, FNP (PRESIDENT)
(805) 773-3130
Entity
Organization
Contact information
Practice address
855 4TH ST, #2, PISMO BEACH, CA 93449-3102
(805) 773-3130
(805) 773-3120
Mailing address
855 4TH ST, #2, PISMO BEACH, CA 93449-3102
(805) 773-3130
(805) 773-3120
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
C2445484
CA
Other
Enumeration date
07/16/2005
Last updated
05/05/2008
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