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Laci Fachini

NPI 1528892700 · on the registry since 2024 · sole proprietor

Practice

Address
805 Barton Rd
Edgewood, NM 87015
Phone
(505) 832-5767

Registry record

Primary taxonomy
163WS0200X
163WS0200X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico