Individual
PAMELA MARIE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
829 SENTINEL RDG SW, MARIETTA, GA 30064-4636
(770) 630-4010
Mailing address
829 SENTINEL RDG SW, MARIETTA, GA 30064-4636
(770) 630-4010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61055207
WA
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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