Individual
ANGELINA NICOLE AQUILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 SE 160TH AVE, VANCOUVER, WA 98684-8911
(360) 882-1089
Mailing address
16873 SE DAVIDOFF WAY, DAMASCUS, OR 97089-5801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201806506NP-PP
OR
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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