Agosto De Jesus, Camille

Agosto De Jesus, Camille is an individual health care provider with primary practice located at 500 S 99Th Ave , Tolleson AZ 85353-9700. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Agosto De Jesus, Camille can be contacted via phone (623) 936-2442.

Contact Information

Primary practice address
500 S 99Th Ave Tolleson AZ 85353-9700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X S022363 Arizona

Profile Details

NPI number 1730620667
LBN Legal business name Agosto De Jesus, Camille
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2017
Last updated Mar 10th, 2017 - about 8 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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