Search › Louisiana › 171M00000X
Pamella Divinity
NPI 1356891246 · on the registry since 2016
Practice
- Address
- 2150 General Pershing St
Mandeville, LA 70448 - Phone
- (985) 465-4250
- Organisation at this address
- Start Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YP2500X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-10
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 Louisiana