Individual
ANDY T AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7415 HENRIETTA DR, SACRAMENTO, CA 95822-5142
(916) 520-7399
Mailing address
2230 STOCKTON BLVD, SACRAMENTO, CA 95817-1353
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/21/2022
Last updated
01/26/2024
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