Individual
PAMELA WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9925 HOGPATH RD, BRADFORD, OH 45308-9554
(937) 477-8357
Mailing address
9925 HOGPATH RD, BRADFORD, OH 45308-9554
(937) 477-8357
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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