Individual
PAMELA ANN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
(339) 221-8074
Mailing address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
(617) 282-3200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN181732
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN181732
RN
MA
Enumeration date
01/25/2019
Last updated
01/25/2019
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