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Individual

JENNIFER PACHECO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HHA

Contact information

Practice address
1010 WISCONSIN AVE NW STE 300, WASHINGTON, DC 20007-3680
(202) 955-8355
Mailing address
1010 WISCONSIN AVE NW STE 300, WASHINGTON, DC 20007-3680
(202) 955-8355

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11268
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HHA374U00000X
NURSING SERVICE RELATED PROVIDER
DC
Enumeration date
05/20/2015
Last updated
05/20/2015
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