Individual
MISS LETICIA B AGUAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
240 DIVISION ST, GRANDVIEW, WA 98930-1357
(509) 882-4260
Mailing address
17801 N MISSIMER RD, PROSSER, WA 99350-8736
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00159856
WA
163WC1500X
Community Health Registered Nurse
RN00159856
WA
Other
Enumeration date
03/22/2007
Last updated
08/05/2021
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