NPI | 1871003400 |
---|---|
Former Name | JESUS AGUADO-ZUNIGA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95012726) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95137136) |
Enumeration Date | 2017-10-10 |
Last Update Date | 2019-11-14 |