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MRS. PAMELA LYNN DESMARAIS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2615 SWANN AVENUE, TAMPA, FL 33609
(813) 878-0089
(813) 879-1310
Mailing address
464 LAKE HILL LANE, LARGO, FL 33771
(727) 542-4638
(727) 530-4639

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2551642
FL

Other

Enumeration date
08/01/2005
Last updated
07/08/2007
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