Individual
MS. PAMELLA KAY VODICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
WALTER REED ARMY MEDICAL CENTER - PEDIATRICS, 6900 GEORGIA AVE, NW, WASHINGTON, DC 20307-5001
(202) 782-5500
(202) 782-8136
Mailing address
4853 CORDELL AVE, APARTMENT 1214, BETHESDA, MD 20814-7015
(301) 215-9141
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DX2593
MD
133V00000X
Registered Dietitian
Primary
—
DC
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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