Individual
CHRISTOPHER JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 CARMEN LN STE 201, SANTA MARIA, CA 93458
(805) 212-7673
(805) 728-9492
Mailing address
212 CARMEN LN STE 201, SANTA MARIA, CA 93458-7771
(805) 212-7673
(805) 728-9492
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245897354
TELECARE CORPORATION
CA
Enumeration date
08/26/2015
Last updated
06/26/2019
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