WANDA IVELISSE PACHECO

PONCE, PR
NPI1285852061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: PR  10070)
Enumeration Date2007-04-24
Last Update Date2007-07-08
Business Address
-- WANDA IVELISSE PACHECO M.D.
ASSMCA CENTRO DE DETOXIFICACION AVE.TITO CASTRO INTERIOR
PONCE, PR 00732-7321
Phone number: 787-840-6935
Mailing Address
-- WANDA IVELISSE PACHECO M.D.
PO BOX 418
SABANA GRANDE, PR 00637-0418
Phone number: 787-833-2899