Individual
CARLOS AGUILERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 VILLA AVE STE 28, CLOVIS, CA 93612-7604
(559) 326-0730
Mailing address
516 VILLA AVE STE 28, CLOVIS, CA 93612-7604
(559) 326-0730
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
58346
CA
Other
Enumeration date
07/17/2014
Last updated
08/06/2014
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