Individual
PAM SEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
4930 W GLENDALE AVE, GLENDALE, AZ 85301-2750
(623) 939-9489
Mailing address
4930 W GLENDALE AVE, GLENDALE, AZ 85301-2750
(623) 939-9489
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-03480P
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033878
ASHN PROVIDER I.D.
AZ
Enumeration date
03/27/2007
Last updated
07/08/2007
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