Individual
BETTY DEL AGUILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
82360 US HIGHWAY 111, INDIO, CA 92201-5604
(760) 342-8828
Mailing address
12574 ATHERTON DR, MORENO VALLEY, CA 92555-2223
(951) 323-2548
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95002133
CA
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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