MS. Pamela J Nicholson, RD, LDN

NPI #1033574967 in Belleville, Illinois

Provider Information

NPI Number: 1033574967
Entity Type: Individual
Name: MS. Pamela J Nicholson, RD, LDN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD, LDN
Enumeration Date: Dec 18, 2015
Last Updated: Dec 18, 2015

Practice Location

Address: 4500 MEMORIAL DR
City: Belleville
State: Illinois
ZIP Code: 62226-5360
Phone: (618) 257-4377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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