Individual provider · NPI-1

Edith Aquino

Licensed Vocational Nurse · San Jose, CA

NPI number1326856527
StatusActive
Last updated in NPPESDec 20, 2024

Details

NPI
1326856527
Entity type
Individual (NPI-1)
Name
Edith Aquino
Sex
Female
Sole proprietor
No
Enumeration date
Dec 20, 2024
Certification date
Dec 20, 2024
Last updated
Dec 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational Nurse232108CAYes

Practice location

2101 Alexian Dr
San Jose, CA 95116-1901

Phone 408-272-6077

Mailing address

2444 Lucerne Way
San Jose, CA 95122-1129

Phone 408-881-4093

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