Individual
ADALIZETTE AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3429 RENNER DR, FORTUNA, CA 95540-3104
(707) 296-9295
Mailing address
3429 RENNER DR, FORTUNA, CA 95540-3104
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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