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Individual

IDANIA AGUILAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2218 W GRAND AVE, ARTESIA, NM 88210-1624
(575) 734-5424
Mailing address
PO BOX 155, ARTESIA, NM 88211-0155

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R52069
NM

Other

Enumeration date
01/11/2018
Last updated
01/11/2018
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