Individual provider · NPI-1

Betty Del Aguila

Nurse Practitioner, Family · Indio, CA

NPI number1689057499
StatusActive
Last updated in NPPESJun 30, 2015

Details

NPI
1689057499
Entity type
Individual (NPI-1)
Name
Betty Del Aguila
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 30, 2015
Last updated
Jun 30, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyNP95002133CAYes

Practice location

82360 Us Highway 111
Indio, CA 92201-5604

Phone 760-342-8828

Mailing address

12574 Atherton Dr
Moreno Valley, CA 92555-2223

Phone 951-323-2548

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