Individual
MRS. PAMELA SUE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
586 SUGARTREE DR, AXTON, VA 24054-1982
(276) 224-5164
Mailing address
586 SUGARTREE DR, AXTON, VA 24054-1982
(276) 224-5164
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101002008
VA
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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