Individual
RUTH MARIA PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2306 BATHGATE CT, FAYETTEVILLE, NC 28312-9614
(910) 922-1030
Mailing address
2306 BATHGATE CT, FAYETTEVILLE, NC 28312-9614
(910) 922-1030
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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