Individual
MRS. PAMELA JEAN EDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
103 WELLS ST, RIDGEWAY, WI 53582-9650
(608) 924-2520
Mailing address
103 WELLS ST, RIDGEWAY, WI 53582-9650
(608) 924-2520
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314201031
WI
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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