Organization Name: | DIABETES DIMENSIONS, LLC |
NPI Number: | 1245275965 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERRI A MASON (SOLE PROVIDER) |
Mailing Address: | 2156 Mcculloch Blvd N Suite 4a Lake Havasu City |
State: | AZ US |
Postal Code: | 864036786 |
Phone Number: | 9284539156 |
Fax Number: | 9287332415 |
NPI Enumeration Date: | 06/17/2006 |
NPI Last Update Date: | 04/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 877907 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |