Individual
MS. PAMELA LYNNE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., P.H.N.
Contact information
Practice address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 934-8510
Mailing address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 834-8510
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
533034
CA
Other
Enumeration date
01/13/2011
Last updated
06/10/2015
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