Individual
PAMELA METCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1879 BRIGHTON AVE, GROVER BEACH, CA 93433-1815
(805) 473-7060
Mailing address
PO BOX 1039, PISMO BEACH, CA 93448-1039
(805) 473-7060
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
L11955
CA
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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