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Individual

DIONNE LOUISE JUAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
450 E SAN JACINTO AVE, PERRIS, CA 92571-2833
(951) 210-1639
Mailing address
63 S 4TH ST, BANNING, CA 92220-4861
(951) 791-6355

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CA
225400000X
Rehabilitation Practitioner
Primary
CA

Other

Enumeration date
05/19/2022
Last updated
05/15/2026
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