Individual
MRS. PAMELA M. BLACKMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3229 E GENESEE ST, SYRACUSE, NY 13214-2016
(315) 464-5726
Mailing address
3229 E GENESEE ST, SYRACUSE, NY 13214-2016
(315) 464-5726
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
004603-1
NY
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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