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Individual

ERMELINDA PACHECO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDE, RN

Contact information

Practice address
8300 CONSTITUTION AVE NE, PMG AT 8300 CONSTITUTION, ALBUQUERQUE, NM 87110-7613
(505) 559-6400
Mailing address
8300 CONSTITUTION AVE NE, PMG AT 8300 CONSTITUTION, ALBUQUERQUE, NM 87110-7613
(505) 559-6400

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R32998
NM

Other

Enumeration date
01/31/2013
Last updated
04/23/2013
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