Individual
PAMELA JEAN AVERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3838 N RURAL ST, INDIANAPOLIS, IN 46205-2930
(317) 221-2306
Mailing address
30 N 6TH ST, ZIONSVILLE, IN 46077-1350
(317) 873-5704
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001269A
IN
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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