Dalila Aguilar

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Johnson City, TN

NPI 1760914360 · NPPES record last updated Apr 1, 2017

Key facts

NPI
1760914360
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
917 W Walnut St
Johnson City, TN 37604-6527
Phone
(423) 952-6563
NPI assigned
Apr 1, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

917 W Walnut St
Johnson City, TN 37604-6527

Mailing address

917 W Walnut St
Johnson City, TN 37604-6527
Phone (423) 952-6563

Other providers in Johnson City, TN

All providers in Johnson City, TN · Student in an Organized Health Care Education/Training Program in Tennessee

Sources for this page

Verify at the official NPI Registry.