Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1003949645 |
---|---|
Provider Name | Mrs. Alicia Aguilar |
First Address | Canyon Country, CA 91350 |
Second Address | Santa Clarita, CA 91350-2947 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 04/06/2013 |