Individual
SOPHIA JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 FANUEL ST, SAN DIEGO, CA 92109-2904
(858) 200-6462
Mailing address
5150 GALT WAY, SAN DIEGO, CA 92117-1128
(858) 200-6462
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
78792
CA
374J00000X
Doula
—
CA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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