Search › California › 163WI0500X
Pamela Cornell
NPI 1457800112 · on the registry since 2016 · sole proprietor
Practice
- Address
- 18268 Pine Bark Ln
Mokelumne Hill, CA 95245 - Phone
- (209) 754-5563
- Fax
- (209) 754-5563
Registry record
- Primary taxonomy
- 163WI0500X
163WI0500X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California