Individual
AMANDA AGUAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 BAYONET CIR, MARINA, CA 93933-4600
(831) 348-6741
(831) 348-6748
Mailing address
613 BAYONET CIR, MARINA, CA 93933-4600
(831) 348-6741
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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