Luis Rolando Agrada

NPI #1962099960 in Provo, Utah

Provider Information

NPI Number: 1962099960
Entity Type: Individual
Name: Luis Rolando Agrada
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 23, 2020
Last Updated: Dec 23, 2020

Practice Location

Address: 750 N FREEDOM BLVD
City: Provo
State: Utah
ZIP Code: 84601-1677
Phone: (801) 373-4760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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