Individual
PAMELA KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 BRYANT RD, CLYDE, TX 79510-4331
(325) 513-8047
Mailing address
201 BRYANT RD, CLYDE, TX 79510-4331
(325) 513-8047
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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