Individual
AMANDA PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 KILBURN ST, NEW BEDFORD, MA 02740-7321
(508) 979-1122
Mailing address
8 KILBURN ST, NEW BEDFORD, MA 02740-7321
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN94771
MA
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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