Provider Demographics
NPI:1740021773
Name:PACHECO, ASHLEY
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:PACHECO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9051 MIRA MESA BLVD
Mailing Address - Street 2:UNIT #26247
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92196-7011
Mailing Address - Country:US
Mailing Address - Phone:619-800-6443
Mailing Address - Fax:
Practice Address - Street 1:9051 MIRA MESA BLVD
Practice Address - Street 2:UNIT #26247
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92196-7011
Practice Address - Country:US
Practice Address - Phone:619-800-6443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula