Individual
MRS. MICHELLE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7001 CHAYOTE RD NE, RIO RANCHO, NM 87144-6211
(505) 771-2366
Mailing address
10443 CALLE AVILA NW, ALBUQUERQUE, NM 87114-1806
(505) 771-2366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1172
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H6641
—
NM
Enumeration date
02/22/2007
Last updated
07/08/2007
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