Miss Jennifer Marie Pacheco
Dental Hygienist
4353 N Colpien Rd
Tulare
, California 93274-9627
Miss Jennifer Marie Pacheco
Dental Hygienist
4353 N Colpien Rd
Tulare
, California 93274-9627
(559) 331-7630
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Miss Jennifer Marie Pacheco
- 4353 N Colpien Rd
- Tulare, CA
- Zip : 93274-9627
- Phone : (559) 331-7630
Second Address
- Miss Jennifer Marie Pacheco
- 4353 N Colpien Rd
- Tulare, CA
- Zip : 93274-9627
- Phone : (559) 331-7630
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 27601 | CA |
National Provider Identifier
| NPI | 1013349505 |
|---|---|
| Provider Name | Miss Jennifer Marie Pacheco |
| First Address | Tulare, CA 93274-9627 |
| Second Address | Tulare, CA 93274-9627 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/08/2013 |
| Last Update Date | 06/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.