Individual
PAM A JAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12501 WILLOWBROOK RD FL 2, CUMBERLAND, MD 21502-2506
(240) 964-8417
(240) 964-8415
Mailing address
12501 WILLOWBROOK RD FL 2, CUMBERLAND, MD 21502-2506
(240) 964-8417
(240) 964-8415
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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