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MARJORIEANN CORPUS AGUILLON LVN, LPN
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1457024689
Individual Registrant: MARJORIEANN CORPUS AGUILLON LVN, LPN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
665 WALNUT AVE VCUSD- VALLEJO CITY UNIFIED SCHOOL DISTRICT VALLEJO, CA 94592-1177 US
Tel: 707-556-8921 Fax: 707-638-3501
Tel: 707-556-8921 Fax: 707-638-3501
Contact information for business:
665 WALNUT AVE VCUSD- VALLEJO CITY UNIFIED SCHOOL DISTRICT VALLEJO, CA 94592-1177 US
Tel: 707-556-8921 Fax: 707-638-3501
Tel: 707-556-8921 Fax: 707-638-3501
Registration Information:
NPI: 1457024689
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 164W00000X | Nursing Service Providers Licensed Practical Nurse | WA | LP60918760 |
| N | 164X00000X | Nursing Service Providers Licensed Vocational Nurse | CA | 253088 |
| Y | 164X00000X | Nursing Service Providers Licensed Vocational Nurse | CA | VN253088 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
