Individual
GEORGIANNA LYNN AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
795 24TH AVE SE APT 4, ALBANY, OR 97322-4242
(541) 777-3070
Mailing address
795 24TH AVE SE APT 4, ALBANY, OR 97322-4242
(541) 777-3070
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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