Individual
PAMELA LYNN LOGALBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
218 MAIN AVE, MORTON, WA 98356-9853
(360) 324-8156
(360) 983-3032
Mailing address
1673 S MARKET BLVD # 10086, CHEHALIS, WA 98532-3826
(360) 324-8156
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00156956
WA
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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