Most Relevant Information
Provider Data
| NPI Number: | 1003393729 |
| Provider Name: | PAMELA KINGSBURY RDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133N00000X |
| Specialty: | Nutritionist |
| License Number: | 86032008 |
Most Important Dates
| Enumeration Date: | 07/25/2018 |
| Last Updated: | 07/25/2018 |
Provider Practice Location
10065 E CAPRI AVE
MESA
AZ
852087471
Practice Location Phone/Fax
| Phone: | 5852611682 |
| Fax: |
Provider Mailing Location
10065 E CAPRI AVE
MESA
AZ
852087471
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |