Individual
HUMBERTO AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5309 LUNA BONITA ST, LAS VEGAS, NV 89113-1173
(702) 528-8566
Mailing address
5309 LUNA BONITA ST, LAS VEGAS, NV 89113
(702) 528-8566
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225400000X
—
NV
Enumeration date
09/11/2013
Last updated
09/11/2013
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