Individual
MR. RAYMOND DRETTI PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN/CRT
Contact information
Practice address
509 N CENTER AVE, PANAMA CITY, FL 32401
(850) 348-2077
Mailing address
509 N CENTER AVE, PANAMA CITY, FL 32401
(850) 348-2077
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5145767
FL
227800000X
Certified Respiratory Therapist
TT 15573
FL
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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