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NPI Code Detail

MEDICARE: HAZELINE AMOREANNA AGUILAR HM 60870744

MEDICARE:   HAZELINE AMOREANNA AGUILAR  HM 60870744
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideHM60870744WA

General Provider Information

NPI Number : 1124877717
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAZELINE AMOREANNA AGUILAR HM 60870744
Provider Business Mailing Address
First Line : 120 CHARLES ST
Second Line :
City : WENATCHEE
State : WA
Zip : 98801-2513
Country : US
Telephone Number : 509-630-3630
Fax Number :
Provider Business Practice Location Address
First Line : 607 SW GRADY WAY STE 110
Second Line :
City : RENTON
State : WA
Zip : 98057-2977
Country : US
Telephone Number : 425-330-2061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2024
Last Update Date : 05/15/2024

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Directions to “ HAZELINE AMOREANNA AGUILAR HM 60870744” Practice Location

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