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Individual
MACHYA SPELLETICH-PECORARO
Active
Individual
MACHYA SPELLETICH-PECORARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201392174RN
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
202107394NP-PP
OR
363LF0000X
Family Nurse Practitioner
201710045NP-PP
OR
Other
Enumeration date
11/22/2017
Last updated
01/11/2022
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