Individual
MS. JILL ELAINE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T.
Contact information
Practice address
5110 SAN FRANCISCO RD NE, ALBUQUERQUE, NM 87109-4640
(505) 797-7691
(505) 797-7686
Mailing address
PO BOX 91270, ALBUQUERQUE, NM 87199-1270
(505) 797-7691
(505) 797-7686
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
502
NM
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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