| NPI | 1699840926 |
|---|---|
| Former Name | JESSICA LYNN PACHECO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 54744) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 010245) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2022-11-01 |