Individual
MR. ROBERTO AGUAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2675 S JONES BLVD STE 102, LAS VEGAS, NV 89146-5607
(702) 951-9751
Mailing address
2675 S JONES BLVD STE 102, LAS VEGAS, NV 89146-5607
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
2103246352
NV
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
05/02/2018
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