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NPI Code Detail

MEDICARE: JONATHAN CRISTIAN AGUAYO

MEDICARE: JONATHAN CRISTIAN AGUAYO
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1831655430
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN CRISTIAN AGUAYO
Provider Business Mailing Address
First Line : 1209 S HUGHES AVE
Second Line :
City : FRESNO
State : CA
Zip : 93706-2321
Country : US
Telephone Number : 559-233-8340
Fax Number :
Provider Business Practice Location Address
First Line : 1209 S HUGHES AVE
Second Line :
City : FRESNO
State : CA
Zip : 93706-2321
Country : US
Telephone Number : 559-233-8340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2019
Last Update Date : 10/11/2023

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Directions to “ JONATHAN CRISTIAN AGUAYO ” Practice Location

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