Individual
BIANCA JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3000
(510) 450-5606
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3000
(510) 450-5606
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95004707
CA
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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