Provider Demographics
NPI:1457066680
Name:OLER, PAMELA JO (MS)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:JO
Last Name:OLER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:JO
Other - Last Name:GRINDSTAFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19148 DYER CT
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:CA
Mailing Address - Zip Code:95321-9422
Mailing Address - Country:US
Mailing Address - Phone:209-768-5514
Mailing Address - Fax:877-422-8884
Practice Address - Street 1:19148 DYER CT
Practice Address - Street 2:
Practice Address - City:GROVELAND
Practice Address - State:CA
Practice Address - Zip Code:95321-9422
Practice Address - Country:US
Practice Address - Phone:209-768-5514
Practice Address - Fax:877-422-8884
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist