Individual
AYESHA ENID PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-FNP
Contact information
Practice address
8051 SW 158TH PL, MIAMI, FL 33193-3042
(786) 370-4712
Mailing address
8051 SW 158TH PL, MIAMI, FL 33193-3042
(786) 370-4712
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11001290
FL
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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