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Individual

RYAN PACHECO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
275 BECK AVE, FAIRFIELD, CA 94533-6804
(707) 784-8679
(707) 421-7484
Mailing address
966 SUFFOLK WAY, FAIRFIELD, CA 94533-7708
(707) 344-4800

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
794401
CA
163WC1500X
Community Health Registered Nurse
Primary
80245
CA

Other

Enumeration date
11/08/2013
Last updated
11/08/2013
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