Individual
ANDREW MICHAEL AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 UNIVERSITY BLVD NE, APT #223, ALBUQUERQUE, NM 87102-1718
(575) 910-2258
Mailing address
1520 UNIVERSITY BLVD NE, APT #223, ALBUQUERQUE, NM 87102-1718
(575) 910-2258
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
509922039
NM
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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