Most Relevant Information
Provider Data
| NPI Number: | 1003688276 |
| Provider Name: | PAMELA ERD |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN.104404.MEDS-IV |
Most Important Dates
| Enumeration Date: | 10/23/2023 |
| Last Updated: | 10/23/2023 |
Provider Practice Location
6300 N MAIN ST
DAYTON
OH
454153154
Practice Location Phone/Fax
| Phone: | 6145056400 |
| Fax: |
Provider Mailing Location
6300 N MAIN ST
DAYTON
OH
454153154
Provider Mailing Phone/Fax
| Phone: | 6145056400 |
| Fax: |