Individual
MS. AMY E PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLIS, CPRP
Contact information
Practice address
456 ELM AVE, LONG BEACH, CA 90802-2426
(562) 285-1330
Mailing address
3705 E 4TH ST, LONG BEACH, CA 90814-1628
(562) 331-2771
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/09/2012
Last updated
05/31/2013
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