Individual
PAMELA M SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8208 LOUISIANA BLVD NE, SUITE C, ALBUQUERQUE, NM 87113-1757
(505) 858-1222
(505) 858-1224
Mailing address
8208 LOUISIANA BLVD NE, SUITE C, ALBUQUERQUE, NM 87113-1757
(505) 858-1222
(505) 858-1224
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PA2004-0022
NM
363A00000X
Physician Assistant
9359
MN
363A00000X
Physician Assistant
Primary
PA2004-0022
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Z5352
—
NM
Enumeration date
03/09/2006
Last updated
11/21/2023
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