Individual provider · NPI-1

Pamela Nicole Aguayo

Student in an Organized Health Care Education/Training Program · Bayamon, PR

NPI number1740857002
StatusActive
Last updated in NPPESJun 7, 2021

Details

NPI
1740857002
Entity type
Individual (NPI-1)
Name
Pamela Nicole Aguayo
Sex
Female
Sole proprietor
No
Enumeration date
Jun 7, 2021
Certification date
May 20, 2021
Last updated
Jun 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

Laurel, Avenida Santa Juanita
Bayamon, PR 00960

Phone 787-798-3001

Mailing address

100 Ave Laurel
Bayamon, PR 00956-4816

Phone 787-798-3001

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