Individual
KELLY JO AGUILERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3985 E BROOKS RD, FREELAND, MI 48623-9436
(989) 573-2464
Mailing address
3985 E BROOKS RD, FREELAND, MI 48623-9436
(989) 573-2464
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
7601000059
MI
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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