Individual
PAMELA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
59 PHEASANT WAY, CENTERVILLE, MA 02632-3221
(508) 790-7557
(508) 790-2331
Mailing address
59 PHEASANT WAY, CENTERVILLE, MA 02632-3221
(508) 790-7557
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
166670
MA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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