Individual
AMANDA AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1896 E BABBIT LANE, SAN LUIS, AZ 85349
(928) 722-6112
(877) 795-5018
Mailing address
P.O. BOX 1669, SAN LUIS, AZ 85349
(928) 722-6112
(877) 795-5018
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
706990
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2811251
—
AZ
Enumeration date
07/01/2014
Last updated
07/01/2014
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