Individual provider · NPI-1

Jessica Aguayo

Case Manager/Care Coordinator · Roseville, CA

NPI number1871269845
StatusActive
Last updated in NPPESAug 19, 2021

Details

NPI
1871269845
Entity type
Individual (NPI-1)
Name
Jessica Aguayo
Sex
Female
Sole proprietor
No
Enumeration date
Aug 19, 2021
Certification date
Aug 19, 2021
Last updated
Aug 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

124 Main St
Roseville, CA 95678-2232

Phone 916-774-6802

Mailing address

124 Main St
Roseville, CA 95678-2232

Phone 916-774-6802

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