Individual
MIGUEL AGUILERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PPS SCHOOL PSYCHOLOG
Contact information
Practice address
265 CALLE DE LA ALIANZA, SAN YSIDRO, CA 92173-2110
(619) 662-1591
Mailing address
265 CALLE DE LA ALIANZA, SAN YSIDRO, CA 92173-2110
(619) 662-1591
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
U6029238
CA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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