Individual
PAMALAR GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1151 TAYLOR ST # 2A, DETROIT, MI 48202-1732
(313) 876-0822
(313) 876-4532
Mailing address
1151 TAYLOR ST # 2A, DETROIT, MI 48202-1732
(313) 876-0822
(313) 876-4532
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704152661
MI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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