Individual
TINA LYN AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
35 S G ST, LAKEVIEW, OR 97630-1817
(541) 947-6021
(541) 219-8114
Mailing address
35 S G ST, LAKEVIEW, OR 97630-1817
(541) 947-6021
(541) 219-8114
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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