Individual
JUANITA IRENE ESPINOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SCENIC DR BLDG A, MODESTO, CA 95350-6131
(209) 525-4982
(209) 558-4332
Mailing address
800 SCENIC DR BLDG A, MODESTO, CA 95350-6131
(209) 525-4982
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16795
COUNTY OF STANISLAUS
CA
Enumeration date
05/03/2019
Last updated
05/22/2025
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