Individual
CORINA ROSE MESA AGUON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
9220 WHITE TOP AVE NE UNIT B, LACEY, WA 98516-3117
(360) 473-7037
Mailing address
PO BOX 3567, LACEY, WA 98509-3567
(360) 473-7037
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
PC61118872
WA
376K00000X
Nurse's Aide
Primary
NC60994786
WA
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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