Doctor Name: | MRS. PAMELA ANN WINNIE |
NPI Number: | 1710221544 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 12556667 |
Business Practice Address: | 2708 Franklinville Rd Joppa, MD - 210852908 |
Business Phone Number: | 4438660054 |
Business Fax Number: | |
Mailing Address: | 2708 Franklinville Rd, JOPPA |
State: | MD |
Postal Code: | 210852908 |
Phone Number: | 4438660054 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2012 |
NPI Last Update Date: | 11/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | 12556667 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |