Individual
MISS PAMELA DENISE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIRECTOR
Contact information
Practice address
726 E MICHIGAN DR STE 530, HOBBS, NM 88240-3467
(505) 397-2801
(505) 393-4132
Mailing address
726 E MICHIGAN DR, P O BOX 6044, HOBBS, NM 88240-3467
(575) 397-2801
(575) 393-4132
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000D0717
—
NM
05
—
00000J0175
—
NM
05
—
21473889
—
NM
05
—
62225715
—
NM
Enumeration date
08/16/2006
Last updated
07/05/2013
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