Individual
ELLIE RUBI AGUILERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 N DOUTY ST, HANFORD, CA 93230-3783
(559) 423-0744
Mailing address
669 CABRILLO ST, LEMOORE, CA 93245-4600
(559) 816-2724
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4147
CA
Other
Enumeration date
06/05/2019
Last updated
06/11/2019
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