NPI 1174071062

Jasmine Pacheco

Practitioner Personal Care Attendant New London, CT

Practice location

Address: 90 Ledge Rd, New London, CT 06320-2514
Phone: (203) 802-2598

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X Licence NA9989861 (CT)

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Registry record

NPI: 1174071062
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2016
Record last updated: 20 Sep 2016

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.