Individual
ANGELICA AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 CARMEN LN STE 201, SANTA MARIA, CA 93458-7771
(805) 212-7675
Mailing address
212 CARMEN LN STE 201, SANTA MARIA, CA 93458-7771
(805) 212-7675
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
425802136
TELECARE CARMEN LANE
—
Enumeration date
04/15/2021
Last updated
04/15/2021
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