Individual
PAMELA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 E DAVIS DR, TERRE HAUTE, IN 47802-4183
(317) 400-1439
Mailing address
756 CENTRAL PARK DR W APT 137, PLAINFIELD, IN 46168-2823
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IN
Other
Enumeration date
10/07/2022
Last updated
02/26/2023
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