| Organization Name: | NUTRITION AND DIABETES EDUCATION CENTER, LLC |
| NPI Number: | 1275866055 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON EVETTE HAWKS (OWNER, DIRECTOR) |
| Mailing Address: | 12150 Annapolis Rd Ste 104 Glenn Dale |
| State: | MD US |
| Postal Code: | 207699183 |
| Phone Number: | 3018058292 |
| Fax Number: | 3013520405 |
| NPI Enumeration Date: | 09/11/2009 |
| NPI Last Update Date: | 01/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1006X |
| License Number: | D01715 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Metabolic |
| Taxonomy Definition: | |