Individual
MR. JASON L. JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
40115 BUCKWOOD WAY, MURRIETA, CA 92562-3816
(760) 470-5128
Mailing address
40115 BUCKWOOD WAY, MURRIETA, CA 92562-3816
(760) 470-5128
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/26/2007
Last updated
11/02/2012
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