Provider Demographics
NPI:1912233636
Name:ARAGON, CAROLYNA VERONICA
Entity Type:Individual
Prefix:
First Name:CAROLYNA
Middle Name:VERONICA
Last Name:ARAGON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 GENERAL STILWELL ST NE
Mailing Address - Street 2:APT. D
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123-2543
Mailing Address - Country:US
Mailing Address - Phone:505-974-7384
Mailing Address - Fax:
Practice Address - Street 1:205 GENERAL STILWELL ST NE
Practice Address - Street 2:APT. D
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87123-2543
Practice Address - Country:US
Practice Address - Phone:505-974-7384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion