Individual provider · Type 1 NPI

Ryan Pacheco

Community Health Registered Nurse · Fairfield, CA

NPI number 1609205764 Active

Practice location

275 Beck Ave
Fairfield, CA 94533-6804

Fax (707) 421-7484

Mailing address

966 Suffolk Way
Fairfield, CA 94533-7708

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X794401 (CA)
Community Health Registered Nurse Primary 163WC1500X80245 (CA)

Community Health Registered Nurse: Definition to come...

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About NPI 1609205764

Ryan Pacheco's National Provider Identifier is 1609205764, issued on Nov 8, 2013. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Fairfield, CA. The record was last updated on Nov 8, 2013.