Individual
MELODYE LEE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 896-4456
Mailing address
1221 NE 267TH AVE, CAMAS, WA 98607-8905
(360) 834-3171
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO00001784
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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