Individual
JENID M PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 BANK ST, WATERBURY, CT 06702-2236
(203) 596-9724
Mailing address
255 BANK ST, WATERBURY, CT 06702-2236
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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