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Individual

MS. JUVY ESCALANTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
Mailing address
PO BOX 4325, OCEANSIDE, CA 92052-4325
(760) 473-0444

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
PA 21502
CA
363A00000X
Physician Assistant
Primary
10524
AZ

Other

Enumeration date
02/05/2013
Last updated
11/22/2024
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