Individual
PAMELA S CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18268 PINE BARK LN, MOKELUMNE HILL, CA 95245-9654
(209) 754-5563
(209) 754-5563
Mailing address
PO BOX 562, MOUNTAIN RANCH, CA 95246-0562
(209) 754-5563
(209) 754-5563
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
508565
CA
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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