Pamela Tiedemann-Fuller, PHD

NPI 1922186949 · on the registry since 2006 · sole proprietor

Practice

Address: 3260 Beard Rd
Suite 4
Napa, CA 94558
Phone: (707) 556-2356
Organisation at this address: Simon Eyes, Inc.
Leland R Raymond Md Apc
Caroline Campbell Dermatology
Northbay Prosthetics And Orthotics Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-05-11

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