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Individual

MRS. DIANA MARIELA AGUILERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AG-ACNP

Contact information

Practice address
2664 CALLE OLIVO, THOUSAND OAKS, CA 91360-6528
(805) 630-1852
Mailing address
2664 CALLE OLIVO, THOUSAND OAKS, CA 91360-6528
(805) 630-1852

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2022009842
CA

Other

Enumeration date
05/31/2022
Last updated
05/31/2022
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