Individual
JOSEPHINE AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12260 OCEAN VIEW DR, SPARKS, NV 89441-5577
(775) 636-5864
Mailing address
12260 OCEAN VIEW DR, SPARKS, NV 89441-5577
(775) 636-5864
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005051717
—
NV
Enumeration date
01/18/2017
Last updated
01/18/2017
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