Individual
PAMELA ETSITTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5209 W WINDROSE DR, GLENDALE, AZ 85304-1945
(602) 620-6611
Mailing address
5209 W WINDROSE DR, GLENDALE, AZ 85304-1945
(602) 620-6611
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN075141
AZ
Other
Enumeration date
01/21/2014
Last updated
02/25/2015
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