PAMELA BASAS MALDA

WAUCONDA, IL
NPI1891238200
Former NamePAMELA BASAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209015216)
Enumeration Date2016-12-02
Last Update Date2020-03-02
Business Address
Mrs. PAMELA BASAS MALDA NP
431 W LIBERTY ST
WAUCONDA, IL 60084
Phone number: 847-526-2151
Mailing Address
Mrs. PAMELA BASAS MALDA NP
PO BOX 6037
WAUCONDA, IL 60084-6037
Phone number: 847-526-2151