Individual
JULIETA MIGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 S NEW HAMPSHIRE AVE, LOS ANGELES, CA 90005-1831
(212) 385-5100
(213) 252-5757
Mailing address
2121 W TEMPLE ST, LOS ANGELES, CA 90026-4915
(212) 385-5100
(213) 252-5757
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-IWKLHB
CA
Other
Enumeration date
03/28/2011
Last updated
05/23/2024
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