Individual
AARON MIGUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
124 WALNUT ST, WOODLAND, CA 95695-3137
(530) 662-9161
Mailing address
PO BOX 37, ESPARTO, CA 95627-0037
(530) 662-9161
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT27890
CA
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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