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Individual

ANNA LIZA T AGUILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9280 W SUNSET RD TOWE 1, LAS VEGAS, NV 89148-4860
(702) 906-4800
Mailing address
9280 W SUNSET RD TOWE 1, LAS VEGAS, NV 89148-4860
(702) 906-4800

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12760
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12760
STATE LICENSE
NV
05
1295912830
NV
Enumeration date
01/25/2008
Last updated
03/15/2023
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