Individual
EDITH AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 ALEXIAN DR, SAN JOSE, CA 95116-1901
(408) 272-6077
Mailing address
2444 LUCERNE WAY, SAN JOSE, CA 95122-1129
(408) 881-4093
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
232108
CA
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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