Individual
DIAMOND D PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 S SUNSET AVE STE B, LITTLEFIELD, TX 79339-4813
(806) 385-3746
Mailing address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8008
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2172668
TX
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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