Aguirre, Amanda

Aguirre, Amanda is an individual health care provider with primary practice located at 1896 E Babbit Lane , San Luis AZ 85349. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Aguirre, Amanda can be contacted via phone (928) 722-6112.

Contact Information

Primary practice address
1896 E Babbit Lane San Luis AZ 85349
Phone: (928) 722-6112
Fax: (877) 795-5018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 706990 Arizona

Profile Details

NPI number 1942615760
LBN Legal business name Aguirre, Amanda
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2014
Last updated Jul 1st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942615760 NPPES
Arizona MEDICAID 2811251

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