Pamela Sue Jewell, RD
Dietitian, Registered in San Antonio, TX. Individual provider (NPI-1).
NPI number1619088093
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619088093
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Pamela Sue Jewell
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 811534 | – | Yes |
Practice location
7400 Merton Minter StSan Antonio, TX 78229-4404
Phone 210-617-5118 · Fax 210-949-3299
Mailing address
11131 Quail PassSan Antonio, TX 78249-3144
Phone 210-696-6643
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