Individual
PAMELA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 RIDGEVIEW CT, PARLIN, NJ 08859-3136
(732) 642-3077
Mailing address
2510 RIDGEVIEW CT, PARLIN, NJ 08859-3136
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR12312900
NJ
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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