Individual provider · NPI-1
Guillermo Aquino, R.T.(T)
Radiologic Technologist, Radiation Therapy · Prescott Valley, AZ
NPI number1932531829
StatusActive
Last updated in NPPESAug 2, 2013
Details
- NPI
- 1932531829
- Entity type
- Individual (NPI-1)
- Name
- Guillermo Aquino
- Credential
- R.T.(T)
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2013
- Last updated
- Aug 2, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471R0002X | Radiologic Technologist, Radiation Therapy | CTT-1099 | AZ | Yes |
| 2471R0002X | Radiologic Technologist, Radiation Therapy | RHT00101374 | CA | |
| 2471R0002X | Radiologic Technologist, Radiation Therapy | 8867519 | OH | |
| 2471R0002X | Radiologic Technologist, Radiation Therapy | 206215 | OR | |
| 2471R0002X | Radiologic Technologist, Radiation Therapy | RT 00008408 | WA |
Practice location
8115 E Gale RdPrescott Valley, AZ 86314-9406
Phone 928-772-0524
Mailing address
8115 E Gale RdPrescott Valley, AZ 86314-9406
Phone 928-772-0524
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