Individual
DOLOROSA TICSAY PACHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5630 UNIVERSITY PKWY, WINSTON SALEM, NC 27105-1312
(336) 251-5133
Mailing address
9006 RIVER PATH RD, LEWISVILLE, NC 27023-9735
(336) 946-2909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004115
NC
Other
Enumeration date
10/01/2008
Last updated
06/23/2014
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