Individual
JEAN AGUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 CLEVELAND AVE APT 1, LONG BEACH, NY 11561-3810
(239) 410-0168
Mailing address
109 CLEVELAND AVE APT 1, LONG BEACH, NY 11561-3810
(239) 410-0168
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431778-01
NY
Other
Enumeration date
04/14/2020
Last updated
07/30/2020
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