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VIVIANA AGUILERA
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1164909636
Individual Registrant: VIVIANA AGUILERA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1904 RICHLAND AVE BLDG A CERES, CA 95307-4562 US
Tel: 209-300-8800 Fax: --
Tel: 209-300-8800 Fax: --
Contact information for business:
3605 NICOLE CT TURLOCK, CA 95382-0383 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1164909636
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
