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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