Individual
PAMELA CORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12625 HESPERIA ROAD, VICTORVILLE, CA 92392
(760) 955-1777
(760) 955-2356
Mailing address
12625 HESPERIA ROAD, VICTORVILLE, CA 92392
(760) 955-1777
(760) 955-2356
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
492619
CA
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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