Individual
PAMELA BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
33120 FOREST PARK DR, WAYNE, MI 48184-3312
(734) 634-3340
Mailing address
33120 FOREST PARK DR, WAYNE, MI 48184-3312
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703078688
MI
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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