Individual
DIANA M GONZALES-PACHECO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
1035 ALTO ST, SANTA FE, NM 87501-2406
(505) 982-6241
(505) 982-6280
Mailing address
1035 ALTO ST, SANTA FE, NM 87501-2406
(505) 982-6241
(505) 982-6280
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
210
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35701889
—
NM
Enumeration date
10/13/2005
Last updated
07/08/2007
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