Provider Demographics
NPI:1306537378
Name:AGUILAR, BELINDA MONICA BARRAZA
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:MONICA BARRAZA
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9323 N SAYBROOK DR APT 241
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0835
Mailing Address - Country:US
Mailing Address - Phone:831-210-8202
Mailing Address - Fax:
Practice Address - Street 1:1101 FRESNO ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93706-3235
Practice Address - Country:US
Practice Address - Phone:559-441-0998
Practice Address - Fax:559-441-1088
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA141964183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician