Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 6550 | OH |
NPI | 1386621027 |
---|---|
Provider Name | Trisha Anne Pachiano |
First Address | Dayton, OH 45459-3711 |
Second Address | Dayton, OH 45459-3711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2005 |
Last Update Date | 06/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2136129 | (05) | OH |