Individual
MRS. PAMELA SUE MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
605 CARVER LN, MOUNT JULIET, TN 37122-3708
(615) 754-8772
Mailing address
605 CARVER LN, MOUNT JULIET, TN 37122-3708
(615) 754-8772
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
PTA0000000687
TN
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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