Individual
GERSHON JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
711 N COURT ST, VISALIA, CA 93291-3638
(559) 627-1490
Mailing address
711 N COURT ST, VISALIA, CA 93291-3638
(559) 627-1490
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
256930
CA
Other
Enumeration date
03/24/2011
Last updated
12/08/2011
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