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Individual

MRS. PAMELA LEE MELLO DENNIS

Active
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Individual

MRS. PAMELA LEE MELLO DENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
258281
CA
363L00000X
Nurse Practitioner
Primary
NP1845
CA

Other

Enumeration date
12/19/2005
Last updated
12/06/2007
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