Individual
CHARMAINE AGUILERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 E FOOTHILL BLVD, PASADENA, CA 91107-3406
(626) 463-1021
Mailing address
604 GLENDORA AVE, LA PUENTE, CA 91744-4009
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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