Individual
PAMELA LUTREA DENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
956 NW 206TH TER, MIAMI GARDENS, FL 33169-2387
(786) 306-6514
(305) 749-6623
Mailing address
956 NW 206TH TER, MIAMI GARDENS, FL 33169-2387
(786) 306-6514
(305) 749-6623
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
232790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232790
AHCA REGISTRATION
FL
Enumeration date
08/07/2012
Last updated
08/07/2012
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