Individual
ESTEFANIA AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
175 NORTH MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132-4189
(801) 581-6908
Mailing address
6828 W TUPELO LN, WEST JORDAN, UT 84081-4189
(801) 898-3450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12478786-1206
UT
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/15/2020
Last updated
12/17/2021
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