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Jennafer Agulla
Student in an Organized Health Care Education/Training Program in West Babylon, New York
NPI 1831574334

Jennafer Agulla is a Student in an Organized Health Care Education/Training Program based in West Babylon, NY. Jennafer Agulla practices in West Babylon, NY. The NPI Number for Jennafer Agulla is 1831574334 and holds a License No. 632491121 (New York).

The current practice location address for Jennafer Agulla is 203 Ecker Ave, West Babylon, NY and can be reached out via phone at 631-338-0991.

Location: 203 Ecker Ave, West Babylon, NY, 11704-6505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831574334
Provider Name
Jennafer Agulla
Credential
Provider Entity Type
Individual
Gender
Female
Address
203 Ecker Ave, West Babylon, NY, 11704-6505
Phone Number
631-338-0991
Fax Number
Provider Enumeration Date
07/25/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
203 Ecker Ave
City
West Babylon
State
New York
Zip
11704-6505
Phone Number
631-338-0991
Fax Number
person
Provider Business Mailing Address Details
Address
203 Ecker Ave
City
West Babylon
State
New York
Zip
11704-6505
Phone Number
631-338-0991
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
632491121 (New York)
Definition
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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