Individual
SAMUEL DE JESUS JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
336 HUTCHISON DR, GREENFIELD, CA 93927-5019
(831) 884-3381
Mailing address
336 HUTCHISON DR, GREENFIELD, CA 93927-5019
(831) 884-3381
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
F5505311
CA
343900000X
Non-emergency Medical Transport (VAN)
Primary
F5505311
CA
Other
Enumeration date
04/18/2025
Last updated
04/21/2025
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