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Mariana Reis Ribeiro Pacheco
NPI 1871045799 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1501 W Tapp Rd
Bloomington, IN 47403 - Phone
- (812) 330-4460
- Fax
- (812) 330-4461
- Clinicians at this address
- 62
Additional practice sites
- 1237 Palm Place Dr Ne, Palm Bay, FL
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 247200000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-12
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 Indiana