Individual
SANJUANITA AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9279
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(086) 429-3762
(086) 429-2792
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
10225101
OR
133V00000X
Registered Dietitian
Primary
D-368
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500809275
—
OR
Enumeration date
01/02/2013
Last updated
01/13/2026
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