Individual
MS. KARLENE TADIPA PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
934 LARCH ST, INGLEWOOD, CA 90301-3950
(714) 822-7057
Mailing address
934 LARCH ST APT 1B, INGLEWOOD, CA 90301-3930
(714) 822-7057
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95207876
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95207876
LICENSE
CA
Enumeration date
04/28/2021
Last updated
04/28/2021
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