Individual
BRISA AIDEE AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3680 E IMPERIAL HWY, LYNWOOD, CA 90262
(626) 277-9268
Mailing address
3680 E IMPERIAL HWY, LYNWOOD, CA 90262
(626) 277-9268
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
05/29/2025
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