Individual
PAMELA DIANE ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12500 BRUCEVILLE ROAD, ELK GROVE, CA 95757
(916) 874-1866
(916) 874-1926
Mailing address
1726 3RD AVE, SACRAMENTO, CA 95818-3024
(916) 442-0327
(916) 874-1926
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN281575
CA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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