Individual
MRS. PAMELA S ETHERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 JAMES RIVER TRL, CARROLLTON, VA 23314-3553
(252) 339-3481
Mailing address
1701 JAMES RIVER TRL, CARROLLTON, VA 23314-3553
(252) 339-3481
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
132924
NC
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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