Pamela Malo, | |
345 Knechtel Way Ne Ste 111, Bainbridge Island, WA 98110-2834 | |
(518) 339-2593 | |
Not Available |
Full Name | Pamela Malo |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 345 Knechtel Way Ne Ste 111, Bainbridge Island, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1639721046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Genesis Ob Gyn Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992994214 PECOS PAC ID: 4284724279 Enrollment ID: O20071213000739 |
Mailing Address | Practice Location Address |
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Pamela Malo, 271 Winslow Way E Unit 10295, Bainbridge Island, WA 98110-9968 Ph: () - | Pamela Malo, 345 Knechtel Way Ne Ste 111, Bainbridge Island, WA 98110-2834 Ph: (518) 339-2593 |
Pamela Malo Pllc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 345 Knechtel Way Ne Ste 111, Bainbridge Island, WA 98110 Phone: 518-339-2593 | |
Ms. Kori Fawn Abbott, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 655 Al Dorsey Ln Nw, Bainbridge Island, WA 98110 Phone: 206-201-3642 | |
Anita C Bermann, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 403 Madison Ave N Ste 240, Bainbridge Island, WA 98110 Phone: 206-913-8715 Fax: 253-365-6299 | |
Abigail Harrison, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3770 Crystal Springs Dr Ne, Bainbridge Island, WA 98110 Phone: 206-992-0393 | |
Shannon Kent, MS RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 945 Hildebrand Ln Ne Ste 205, Bainbridge Island, WA 98110 Phone: 360-626-6026 |