Individual
ANITA PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7625 PARAGON RD, SUITE C, DAYTON, OH 45459-4067
(877) 480-6398
(877) 470-6398
Mailing address
200 VALLEY STATION CIR, BUELLTON, CA 93427-9587
(805) 252-3010
(877) 470-6398
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8899
CA
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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