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JOHANNA AGUILUZ

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1639608227

Individual Registrant:
 JOHANNA  AGUILUZ 
Gender: F
Sole Proprietor

Location and contact information for practice:
5628 E SLAUSON AVE  COMMERCE, CA 90040-2922 US
Tel: (32-3) -480-9242  Fax: --

Contact information for business:
5628 E SLAUSON AVE  COMMERCE, CA 90040-2922 US
Tel: 323-480-9242  Fax: --

Registration Information:
NPI: 1639608227
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDI-CAL95-2633765CA01




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