Individual
CHRISTINA AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7417 N 67TH DR, GLENDALE, AZ 85303-2133
(480) 430-8724
Mailing address
6537 N 55TH AVE UNIT 533, GLENDALE, AZ 85311-7923
(480) 430-8724
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA999997202
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619408440
NPI
AZ
Enumeration date
06/22/2017
Last updated
06/16/2018
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