NPI 1013349505

Jennifer Marie Pacheco, RDH

Practitioner Dental Hygienist Tulare, CA

Practice location

Address: 4353 N Colpien Rd, Tulare, CA 93274-9627
Phone: (559) 331-7630

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 27601 (CA)

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Registry record

NPI: 1013349505
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Aug 2013
Record last updated: 6 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.