Individual
AIDA RUTH GABO BEARNOD
Active
Individual
AIDA RUTH GABO BEARNOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041.287233
IL
363LF0000X
Family Nurse Practitioner
Primary
209.024085
IL
Other
Enumeration date
02/21/2021
Last updated
12/16/2021
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