Individual
ANGELICA I AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 12TH AVE S, NAMPA, ID 83651-4255
(208) 467-1560
Mailing address
11022 W BRASSY COVE LOOP APT 21, NAMPA, ID 83651-5155
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CT54929
ID
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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