Individual
MRS. SOPHIA AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
695 CRESCENT LN, LEMOORE, CA 93245-4953
(559) 924-0500
Mailing address
695 CRESCENT LN, LEMOORE, CA 93245-4953
(559) 924-0500
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
18726
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H00043
HEALTHY FAMILIES ID#
CA
Enumeration date
06/12/2007
Last updated
07/08/2007
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