Provider Demographics
NPI:1104473248
Name:APLO HEALTH AND AESTHETICS LLC
Entity type:Organization
Organization Name:APLO HEALTH AND AESTHETICS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENESA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUILUZ-DIZON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-713-4619
Mailing Address - Street 1:10881 WOODS HOLE BAY ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89179-1457
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2831 BUSINESS PARK CT STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-9010
Practice Address - Country:US
Practice Address - Phone:702-713-5347
Practice Address - Fax:844-858-9345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-22
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty