Individual
PAMELA LORRETTA LEE WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1005 BALCOM LN, TRUMANN, AR 72472-9502
(870) 483-1461
Mailing address
162 COUNTY ROAD 409, JONESBORO, AR 72404-8736
(870) 935-0664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R76926
AR
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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