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NPI Code Detail

MEDICARE: BRIANA ELIZABETH AGUILERA CASTANEDA LVN

MEDICARE: BRIANA ELIZABETH AGUILERA CASTANEDA LVN
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
1164X00000XLicensed Vocational Nurse721333CA

General Provider Information

NPI Number : 1528880135
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANA ELIZABETH AGUILERA CASTANEDA LVN
Provider Business Mailing Address
First Line : 2626 N CALIFORNIA ST
Second Line :
City : STOCKTON
State : CA
Zip : 95204-5537
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2626 N CALIFORNIA ST
Second Line :
City : STOCKTON
State : CA
Zip : 95204-5537
Country : US
Telephone Number : 209-466-2626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2024
Last Update Date : 10/26/2024

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Directions to “ BRIANA ELIZABETH AGUILERA CASTANEDA LVN” Practice Location

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