Individual
JUVENTINO SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
444 S BRAND BLVD STE 201, SAN FERNANDO, CA 91340-3610
(818) 675-4243
Mailing address
444 S BRAND BLVD STE 201, SAN FERNANDO, CA 91340-3610
(818) 675-4243
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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