Individual
KARELY JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 AVENIDA DEL MUNDO UNIT 302, CORONADO, CA 92118-3093
(619) 435-2355
Mailing address
229 16TH ST APT 323, SAN DIEGO, CA 92101-7661
(619) 327-6775
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D7561389
DRIVER LICENSE
CA
Enumeration date
06/29/2022
Last updated
06/29/2022
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