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AMETHYST AGUERO DO

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1568021913

Individual Registrant:
 AMETHYST  AGUERO DO
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: --

Contact information for business:
11233 SUNFLOWER LN  CORONA, CA 92883-3161 US
Tel: 443-889-5395  Fax: --

Registration Information:
NPI: 1568021913
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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