Individual
OMAR A JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AUDIOLOGIST
Contact information
Practice address
445 E 540 N, CENTERVILLE, UT 84014-1951
(801) 397-1597
(801) 383-5986
Mailing address
PO BOX 22, CENTERVILLE, UT 84014-0022
(801) 397-1597
(801) 383-5986
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU 1707
CA
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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