Individual
AMY LEE AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 S MAIN ST STE 205, CORONA, CA 92882-2507
(951) 808-6298
Mailing address
2250 S MAIN ST STE 205, CORONA, CA 92882-2507
(951) 808-6298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013304
CA
Other
Enumeration date
02/27/2020
Last updated
07/15/2022
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