Individual provider · Type 1 NPI

Ryan Pacheco

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1689032534 Active

Practice location

606 24th Ave S Ste 200
Minneapolis, MN 55454-1437

Call (612) 659-8689 Map

Fax (612) 659-8690

Mailing address

606 24th Ave S, Suite 200
Mineapolis, MN 55454

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689032534

Ryan Pacheco's National Provider Identifier is 1689032534, issued on Feb 7, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 7, 2016.