Individual
LISA R AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 DIVISION ST, GRANDVIEW, WA 98930-1357
(509) 882-4260
(509) 882-6088
Mailing address
4042 HICKS RD, GRANDVIEW, WA 98930-9165
(509) 882-4260
(509) 882-6088
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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