Individual
SHELLY AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1910 N BUSH ST, SANTA ANA, CA 92706-2816
(714) 361-7950
Mailing address
1910 N BUSH ST, SANTA ANA, CA 92706-2816
(714) 361-7950
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22945
CA
Other
Enumeration date
07/27/2017
Last updated
04/30/2020
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