PAMELA ROSE KNICKERBOCKER

AVON PARK, FL
NPI1164561353
Former NamePAMELA ROSE GARNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS19486)
Additional Taxonomies207Q00000X Family Medicine
(Licence: CA  A2012777)
207Q00000X Family Medicine
(Licence: OK  4409)
Enumeration Date2007-02-05
Last Update Date2023-02-16
Business Address
Dr. PAMELA ROSE KNICKERBOCKER D.O.
1006 W PLEASANT ST
AVON PARK, FL 33825-2966
Phone number: 863-453-3121
Mailing Address
Dr. PAMELA ROSE KNICKERBOCKER D.O.
1035 PLACER ST
REDDING, CA 96001-1125
Phone number: 530-246-5710