Individual
PAMELA KINGSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
10065 E CAPRI AVE, MESA, AZ 85208-7471
(585) 261-1682
Mailing address
10065 E CAPRI AVE, MESA, AZ 85208-7471
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
86032008
AZ
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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