Individual
GLORIA JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CES
Contact information
Practice address
1600 HOLLOWAY AVE, SAN FRANCISCO, CA 94132-1722
(323) 496-1324
Mailing address
401 N AVENUE 61, LOS ANGELES, CA 90042-3409
(323) 496-1324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000009520
CA
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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