Individual
JAIME ALEXANDER PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6301 MEMORIAL HWY SUIT 304, TAMPA, FL 33615
(813) 644-6814
Mailing address
7028 WEST WATERS AVENUE #221, TAMPA, FL 33634
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
MA64424
FL
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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