Individual
ANDRE JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13856 W WADDELL RD, SUITE 103, SURPRISE, AZ 85379-3801
(623) 547-9557
Mailing address
7718 W BOCA RATON RD, PEORIA, AZ 85381-4690
(760) 234-6972
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2154
AZ
Other
Enumeration date
09/18/2016
Last updated
09/18/2016
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