Provider Demographics
NPI:1386186922
Name:PALMO, PAMELA DENICE (RDN)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:DENICE
Last Name:PALMO
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4755 N PLACITA CAZADOR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-6844
Mailing Address - Country:US
Mailing Address - Phone:520-529-2676
Mailing Address - Fax:520-529-2676
Practice Address - Street 1:4755 N PLACITA CAZADOR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6844
Practice Address - Country:US
Practice Address - Phone:520-529-2676
Practice Address - Fax:520-529-2676
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered