Individual
SAMANTHA MARIE PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 GEORGIA ST NE STE A1, ALBUQUERQUE, NM 87110-1391
(505) 881-4012
Mailing address
10405 SOLITUDE RD SW, ALBUQUERQUE, NM 87121-5383
(505) 449-7024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
58850
NM
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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