Individual
ANA AGUAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2498 S 43RD DR, YUMA, AZ 85364-9271
(760) 554-2047
Mailing address
2498 S 43RD DR, YUMA, AZ 85364-9271
(760) 554-2047
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11946H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164599
—
AZ
Enumeration date
01/10/2023
Last updated
01/10/2023
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