Individual
PAMELA ROBIN BROOKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3046 APPALOOSA DR, LAKE HAVASU CITY, AZ 86406-6157
(928) 453-8622
Mailing address
3046 APPALOOSA DR, LAKE HAVASU CITY, AZ 86406-6157
(928) 453-8622
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528442
—
AZ
Enumeration date
09/24/2009
Last updated
07/02/2012
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