Individual
ANNETTE PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 RAMBLEWOOD DR, VINELAND, NJ 08360-2322
(856) 500-1169
Mailing address
1141 RAMBLEWOOD DR, VINELAND, NJ 08360-2322
(856) 500-1169
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06732000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NP06732000
BOARD OF NURSING
NJ
Enumeration date
10/22/2019
Last updated
10/22/2019
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