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Isaiah Aguilar

Peer Specialist in San Jose, CA. Individual provider (NPI-1).

NPI number1124883301
StatusActive
Last updated in NPPESSep 12, 2024

Details

NPI
1124883301
Entity type
Individual (NPI-1)
Name
Isaiah Aguilar
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 16, 2024
Certification date
Sep 12, 2024
Last updated
Sep 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer SpecialistF3637480CAYes
172V00000X Community Health WorkerF3637480CA

Practice location

232 E Gish Rd
San Jose, CA 95112-4706

Phone 408-426-7954

Mailing address

251 Llewellyn Ave
Campbell, CA 95008-1940

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