Pamela Jean Underwood

NPI #1154696656 in Lake St Louis, Missouri

Provider Information

NPI Number: 1154696656
Entity Type: Individual
Name: Pamela Jean Underwood
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Mar 16, 2012
Last Updated: Mar 16, 2012

Practice Location

Address: 100 MEDICAL PLZ
City: Lake St Louis
State: Missouri
ZIP Code: 63367-1366
Phone: (636) 625-7734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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