Individual
MS. PAMELA DENISE PONDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2603 PORTOLA COURT, ODENTON, MD 21113
(301) 377-6891
Mailing address
2603 PORTOLA COURT, ODENTON, MD 21113
(301) 377-6891
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
GNA-A00012934
MD
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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