Individual
JASMINE PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 LEDGE RD, NEW LONDON, CT 06320-2514
(203) 802-2598
Mailing address
90 LEDGE RD, NEW LONDON, CT 06320-2514
(203) 802-2598
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
NA9989861
CT
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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