Individual
JESSICA L PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
170 TERRY LN, LYTLE, TX 78052-3829
(210) 835-8955
(830) 772-5611
Mailing address
170 TERRY LN, LYTLE, TX 78052-3829
(210) 835-8955
(830) 772-5611
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4991
CERTIFIED SURGICAL ASSISTANT
TX
Enumeration date
07/17/2019
Last updated
07/17/2019
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