Individual
KENNY AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 SPRUCE ST APT A204, PHILADELPHIA, PA 19104-4758
(909) 549-9639
Mailing address
4301 SPRUCE ST APT A204, PHILADELPHIA, PA 19104-4758
(909) 549-9639
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
841870-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
841870
NY
390200000X
Student in an Organized Health Care Education/Training Program
RN720771
PA
Other
Enumeration date
11/04/2022
Last updated
02/09/2023
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