Individual
MS. AMANDA M SKOTCHDOPOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1921 VENUS CT NE, ALBUQUERQUE, NM 87112-3526
(505) 205-2755
Mailing address
1921 VENUS CT NE, ALBUQUERQUE, NM 87112-3526
(505) 205-2755
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-1159
NM
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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