Individual
HEATHER PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
285 N EL CAMINO REAL # 100-19, ENCINITAS, CA 92024-5383
(760) 705-0599
Mailing address
285 N EL CAMINO REAL # 100-19, ENCINITAS, CA 92024-5383
(760) 705-0599
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
Z86741
CA
Other
Enumeration date
11/12/2012
Last updated
11/12/2012
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