Individual
DOLORES AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
751 S BASCOM AVE, TB CLINIC, SAN JOSE, CA 95128-2604
(408) 792-5586
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
432283
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN432283
—
CA
Enumeration date
02/27/2006
Last updated
09/10/2007
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