Individual
PAMELA R. M. FOWLER-GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 S JONES BLVD, LAS VEGAS, NV 89146-3151
(702) 360-1137
Mailing address
2012 S JONES BLVD, LAS VEGAS, NV 89146-3151
(702) 360-1137
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA7661
FL
235Z00000X
Speech-Language Pathologist
Primary
SP-1428
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890491000
—
FL
Enumeration date
09/24/2006
Last updated
09/15/2014
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