Individual
MR. DASHAWN PASCAL AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
KY APSS
Contact information
Practice address
100 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 982-1244
Mailing address
107 MELANIE LN APT 5, ELIZABETHTOWN, KY 42701-2881
(270) 734-4560
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1213276
KY
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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