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Individual

MRS. LANEA JUECO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
450 STANYAN ST, SAN FRANCISCO, CA 94117-1019
(415) 750-5872
Mailing address
1420 THORSEN AVE, MODESTO, CA 95355-1742

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
750843
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
F1293775
CA

Other

Enumeration date
02/18/2014
Last updated
02/14/2023
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