Individual
FAUSTO GUILLEN AGUILAR JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5301 TIETON DR, YAKIMA, WA 98908-3479
(509) 965-7100
Mailing address
1410 LANDON AVE, YAKIMA, WA 98902-5631
(206) 851-0428
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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