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AMETHYST AGUERO DO
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1568021913
Individual Registrant: AMETHYST AGUERO DO
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3033 W ORANGE AVE ANAHEIM, CA 92804-3156 US
Tel: 714-827-3000 Fax: --
Tel: 714-827-3000 Fax: --
Contact information for business:
11233 SUNFLOWER LN CORONA, CA 92883-3161 US
Tel: 443-889-5395 Fax: --
Tel: 443-889-5395 Fax: --
Registration Information:
NPI: 1568021913
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
