Individual
LUZ B. AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
395 E WIGWAM AVE, LAS VEGAS, NV 89123-2247
(702) 250-0388
Mailing address
395 E WIGWAM AVE, LAS VEGAS, NV 89123-2247
(702) 250-0388
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
NV
Enumeration date
05/18/2014
Last updated
05/18/2014
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