| NPI | 1295351864 |
|---|---|
| Former Name | MARINA PACHECO GARDUNO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2026-02-03 |