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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