Individual
LONI RAE PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
18500 VAN HORN RD, WOODHAVEN, MI 48183-3803
(872) 231-3162
(702) 977-1496
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8727
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704300580
MI
Other
Enumeration date
06/04/2020
Last updated
10/03/2025
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