Individual
DR. PAMELA LU GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND,RN,CNS
Contact information
Practice address
121 N 6TH ST, CANON CITY, CO 81212-3329
(719) 221-1414
Mailing address
121 N 6TH ST, CANON CITY, CO 81212-3329
(719) 221-1414
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0106726
CO
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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