Individual provider · Type 1 NPI

Jennafer Agulla

Student in an Organized Health Care Education/Training Program · West Babylon, NY

NPI number 1831574334 Active

Practice location

203 Ecker Ave
West Babylon, NY 11704-6505

Call (631) 338-0991 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X632491121 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831574334

Jennafer Agulla's National Provider Identifier is 1831574334, issued on Jul 25, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Babylon, NY. The record was last updated on Jul 25, 2015.