Organization
DIABETES AND NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI L RYAN (RD, CDE)
(808) 345-6919
Entity
Organization
Contact information
Practice address
75-184 HUALALAI RD STE 203, KAILUA KONA, HI 96740-1719
(808) 329-9211
(808) 329-0009
Mailing address
PO BOX 4787, KAILUA KONA, HI 96745-4787
(808) 345-6919
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
836581
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558540914
NPI
—
Enumeration date
05/12/2017
Last updated
05/24/2022
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