Individual
PAM DEROLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.T.
Contact information
Practice address
152 SWAN VIEW DR, KILL DEVIL HILLS, NC 27948-8048
(401) 862-1688
Mailing address
152 SWAN VIEW DR, KILL DEVIL HILLS, NC 27948-8048
(401) 862-1688
Taxonomy
Speciality
Code
Description
License number
State
2471M2300X
Mammography Radiologic Technologist
Primary
16286
MA
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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