Individual
PAMELA IVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 W APACHE ST, FARMINGTON, NM 87401-5527
(505) 592-0623
Mailing address
807 W APACHE ST, FARMINGTON, NM 87401-5527
(505) 592-0623
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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