Individual
MS. PAMELA DEJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., C.P.N.P.
Contact information
Practice address
106 SUDBURY RD, ASHLAND, MA 01721-1120
(508) 309-3090
Mailing address
106 SUDBURY RD, ASHLAND, MA 01721-1120
(508) 309-3090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN120776
MA
163WP0200X
Pediatric Registered Nurse
RN120776
MA
163WS0200X
School Registered Nurse
RN120776
MA
Other
Enumeration date
05/17/2014
Last updated
05/17/2014
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