Individual
KELSY NICOLE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2593 SW 177TH TER, MIRAMAR, FL 33029-5130
(786) 537-7841
Mailing address
2593 SW 177TH TER, MIRAMAR, FL 33029-5130
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL6347
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2020
Last updated
01/17/2023
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