Individual
PAMELA SUE WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 STEMBRIDGE RD, LAKE WALES, FL 33898-9407
(863) 412-4698
Mailing address
201 STEMBRIDGE RD, LAKE WALES, FL 33898-9407
(863) 412-4698
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
00069985
FL
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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