Individual
PAMELA ING-DOBROTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 639-6575
(928) 639-6340
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
680640
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680640
COMMISSION ON DIETETIC REGISTRATION
AZ
Enumeration date
09/17/2016
Last updated
03/14/2017
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