Individual
MS. PAMELA KAY VANDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
6212 75TH ST W, LAKEWOOD, WA 98499-8368
(253) 222-6568
(253) 272-4760
Mailing address
6212 75TH ST W, LAKEWOOD, WA 98499-8368
(253) 222-6568
(253) 272-4760
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0014358
WA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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