Individual
JAN VINCENT AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5911 WARNER AVE, HUNTINGTON BEACH, CA 92649-4659
(714) 377-7546
Mailing address
5911 WARNER AVE, HUNTINGTON BEACH, CA 92649-4659
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95018763
CA
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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