Agoncillo, Susan
Agoncillo, Susan is an individual health care provider with primary practice located at 1701 N Green Valley Pkwy Ste 9A , Henderson NV 89074-5991. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Agoncillo, Susan can be contacted via phone (702) 407-1100.Contact Information
Primary practice address
1701 N Green Valley Pkwy Ste 9A
Henderson NV 89074-5991
Phone: (702) 407-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1225661069 |
|---|---|
| LBN Legal business name | Agoncillo, Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2020 |
| Last updated | Feb 20th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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