Individual
PAMELA PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, CHHA
Contact information
Practice address
31712 VIA ANA, SAN JUAN CAPISTRANO, CA 92675-3029
(949) 690-3011
Mailing address
31712 VIA ANA, SAN JUAN CAPISTRANO, CA 92675-3029
(949) 690-3011
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
01146589
CA
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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