Organization
DIABETES CARE AND WELLNESS MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI PATRICIA LATTIBEAUDIERE FNP-C (OWNER/SOLE PROVIDER)
(954) 487-9057
Entity
Organization
Contact information
Practice address
11801 TRAILRIDGE DR, POTOMAC, MD 20854-2835
(954) 487-9057
Mailing address
11801 TRAILRIDGE DR, POTOMAC, MD 20854-2835
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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