Individual
MRS. AMANDA JO PANTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
7240 SHADELAND STA STE 200, INDIANAPOLIS, IN 46256-3968
(317) 621-2677
(317) 621-2676
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003068A
IN
133V00000X
Registered Dietitian
—
IN
Other
Enumeration date
09/11/2020
Last updated
05/16/2023
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