Individual
ROSA JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7025 N SCOTTSDALE RD, SCOTTSDALE, AZ 85253-3675
(602) 385-8733
Mailing address
19736 N TAMMY ST, MARICOPA, AZ 85138-6763
(941) 544-2668
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
230688
AZ
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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