Individual
MISS PAMELA ANN STEPHENS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1602 6TH AVE, ROCK FALLS, IL 61071-2809
(815) 626-3683
Mailing address
1602 6TH AVE, ROCK FALLS, IL 61071-2809
(815) 626-3683
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
IL
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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