Individual
MRS. AMY BETH PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
134 MAIN ST, BUZZARDS BAY, MA 02532-3221
(508) 444-6530
Mailing address
134 MAIN ST, BUZZARDS BAY, MA 02532-3221
(508) 444-6530
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
S26331942
MA
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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