Individual
TONYA MARIE JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LATC
Contact information
Practice address
1201 W NEW YORK ST, AURORA, IL 60506-3697
(630) 664-3093
Mailing address
1201 W NEW YORK ST, AURORA, IL 60506-3697
(630) 664-3093
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.001127
IL
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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