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JIANNA MICHELLE AGUILAR ATC
Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1033731005
Individual Registrant: JIANNA MICHELLE AGUILAR ATC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
16150 POMONA RINCON RD CHINO HILLS, CA 91709-3101 US
Tel: 909-606-7540 Fax: --
Tel: 909-606-7540 Fax: --
Contact information for business:
4141 COLUMBIA AVE RIVERSIDE, CA 92501-1553 US
Tel: 951-533-2358 Fax: --
Tel: 951-533-2358 Fax: --
Registration Information:
NPI: 1033731005
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Athletic Trainer |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
