Provider Demographics
NPI:1881466605
Name:AGUILAR, SHAWNA DAWN (CFO)
Entity type:Individual
Prefix:MRS
First Name:SHAWNA
Middle Name:DAWN
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:CFO
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Mailing Address - Street 1:5412 AVENIDA DE LOS ROBLES
Mailing Address - Street 2:UNIT 101
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291
Mailing Address - Country:US
Mailing Address - Phone:559-636-3800
Mailing Address - Fax:559-636-3802
Practice Address - Street 1:5412 AVENIDA DE LOS ROBLES
Practice Address - Street 2:UNIT 101
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291
Practice Address - Country:US
Practice Address - Phone:559-636-3800
Practice Address - Fax:559-636-3802
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CACFO04843225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter