Healthcare Provider Details

I. General information

NPI: 1659038438
Provider Name (Legal Business Name): JUAN JOSE ARGUETA HHP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 11/29/2021
Certification Date: 11/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5345 ESSEX CT APT 150
ALEXANDRIA VA
22311-5345
US

IV. Provider business mailing address

5345 ESSEX CT APT 150
ALEXANDRIA VA
22311-5345
US

V. Phone/Fax

Practice location:
  • Phone: 571-216-7483
  • Fax:
Mailing address:
  • Phone: 571-216-7483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: