Individual provider · NPI-1

Michael Aguilar, RD

Dietitian, Registered · Broomfield, CO

NPI number1750118576
StatusActive
Last updated in NPPESSep 16, 2024

Details

NPI
1750118576
Entity type
Individual (NPI-1)
Name
Mr. Michael Aguilar
Credential
RD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 16, 2024
Certification date
Sep 16, 2024
Last updated
Sep 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86043129COYes
132700000X Dietary Manager86043129CO

Practice location

2954 W 135th Ave
Broomfield, CO 80020-5130

Phone 720-226-7351

Mailing address

2954 W 135th Ave
Broomfield, CO 80020-5130

Phone 720-226-7351

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