| Doctor Name: | DR. PRECIOSA P PACIA-RANTAYO |
| NPI Number: | 1003806407 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 0101231477 |
| Business Practice Address: | Mcdonald Army Community Hospital Fort Eustis, VA - 23604 |
| Business Phone Number: | 7573147887 |
| Business Fax Number: | 7573147511 |
| Mailing Address: | 100 Vreeland Dr, YORKTOWN |
| State: | VA |
| Postal Code: | 236923120 |
| Phone Number: | 7573147887 |
| Fax Number: | 7573147577 |
| NPI Enumeration Date: | 10/26/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 0101231477 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |