Individual
PAMELA ANN KACZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
28721 NORTHLINE RD, ROMULUS, MI 48174
(734) 790-6306
Mailing address
28721 NORTHLINE RD, ROMULUS, MI 48174
(734) 790-6306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704177676
MI
Other
Enumeration date
05/10/2018
Last updated
05/13/2018
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