Individual
LEAH PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 771-1800
Mailing address
1109 SHOOTFLYING HILL RD, CENTERVILLE, MA 02632-2474
(774) 487-8696
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1171189
MA
Other
Enumeration date
05/12/2019
Last updated
01/23/2020
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