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Individual

PAM KNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9701 APOLLO DR STE 100, LARGO, MD 20774-4785
(301) 971-4306
(301) 971-4306
Mailing address
9701 APOLLO DR STE 100, LARGO, MD 20774-4785
(301) 971-4306

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
462815909
STAFFING
05
462815909
MD
Enumeration date
08/06/2018
Last updated
08/06/2018
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