Individual
JUANA BRENDA CHAIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1507 COLONY EAST CIR, STONE MOUNTAIN, GA 30083-5408
(562) 241-3704
Mailing address
1507 COLONY EAST CIR, STONE MOUNTAIN, GA 30083-5408
(562) 241-9704
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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