Individual
PAMELA KAY EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6004 IZAAC WALTON RD, BENTON, IL 62812-3954
(618) 218-2971
Mailing address
PO BOX 2, VALIER, IL 62891-0002
(618) 218-2971
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041321015
IL
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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