Individual
SONIA PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
12121 W NORTH AVE, WAUWATOSA, WI 53226-2096
(414) 773-1000
Mailing address
12121 W NORTH AVE, WAUWATOSA, WI 53226-2096
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
187616-30
WI
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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