Individual
MISS JERIL MARIE MILLAN PAMAONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
3290 N RIDGE RD, SUITE 290 EXECUTIVE CENTER II CAMBRIDGE HEALTHCARE, ELLICOTT CITY, MD 21043-3655
(410) 750-9006
Mailing address
3617 PARSONS BLVD, DR WILLIAM BENENSON PAVILION, FLUSHING, NY 11354-5931
(347) 653-1391
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028749
NY
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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