Individual
MRS. PAMELA MARIE SOPATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
350 BUDFIELD ST, SUITE A, JOHNSTOWN, PA 15904-3214
(814) 266-9919
(814) 266-0499
Mailing address
350 BUDFIELD ST, SUITE A, JOHNSTOWN, PA 15904-3214
(814) 266-9919
(814) 266-0499
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
DN000319
PA
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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