Individual
ISAAC ELIAS PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
959 S INDIANA AVE, SELLERSBURG, IN 47172-1639
(877) 234-3266
Mailing address
959 S INDIANA AVE, SELLERSBURG, IN 47172-1639
(763) 228-3440
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
FPF02000141
TX
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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