Individual
MR. GODOFREDO ANTONIO AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14090 FRYELANDS BLVD SE STE 347, MONROE, WA 98272-2760
(360) 805-3122
(360) 805-9180
Mailing address
14090 FRYELANDS BLVD SE STE 347, MONROE, WA 98272-2760
(360) 805-3122
(360) 805-9180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CO61051621
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/12/2017
Last updated
01/10/2025
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