Individual
KATHLEEN JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 S DOBSON RD, MESA, AZ 85202-4713
(480) 219-5113
Mailing address
6317 E HANNIBAL ST, MESA, AZ 85205-4540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN073279
AZ
Other
Enumeration date
04/13/2019
Last updated
04/13/2019
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