Individual
KATRINA CARBONELL AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(623) 882-1500
Mailing address
8201 W BEARDSLEY RD APT 1071, PEORIA, AZ 85382-2454
(702) 321-7274
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11849
NC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/22/2017
Last updated
09/30/2024
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