Individual
PAMELA KAY PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 EAST ST, PAHRUMP, NV 89048-5368
(775) 537-2200
Mailing address
601 EAST ST, PAHRUMP, NV 89048-5368
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN26732
NV
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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