Individual provider · NPI-1
Edwin Aguilar
Specialist/Technologist, Athletic Trainer · Brighton, MA
NPI number1689138034
StatusActive
Last updated in NPPESJan 29, 2019
Details
- NPI
- 1689138034
- Entity type
- Individual (NPI-1)
- Name
- Edwin Aguilar
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2019
- Last updated
- Jan 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
63 Nonantum StBrighton, MA 02135-2452
Phone 626-234-3280
Mailing address
63 Nonantum StBrighton, MA 02135-2452
Phone 626-234-3280
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