Individual
PAMELA KAY WANGECHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10555 W JEWELL AVE, 10-203, LAKEWOOD, CO 80232-6237
(720) 628-1180
Mailing address
10555 W JEWELL AVE, 10-203, LAKEWOOD, CO 80232-6237
(720) 628-1180
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
256903
CO
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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