Most Relevant Information
Provider Data
| NPI Number: | 1003274945 |
| Provider Name: | JULIE PACHECO-SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/07/2016 |
| Last Updated: | 02/07/2016 |
Provider Practice Location
5131 JOE DR
COMMERCE TOWNSHIP
MI
483821487
Practice Location Phone/Fax
| Phone: | 2487785595 |
| Fax: |
Provider Mailing Location
5131 JOE DR
COMMERCE TOWNSHIP
MI
483821487
Provider Mailing Phone/Fax
| Phone: | 2487785595 |
| Fax: |