Individual
RENE RICARDO JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
3031 LEMON GROVE AVE, LEMON GROVE, CA 91945-2534
(619) 587-4917
Mailing address
5763 MISSION CENTER RD APT 211, SAN DIEGO, CA 92108-4356
(619) 587-4917
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
95839
CA
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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