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Individual

JULIET SAN JUAN GONZALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
9333 IMPERIAL HWY, DOWNEY, CA 90242-2812
(562) 657-9000
Mailing address
850 DANS PL, BREA, CA 92821-2387
(714) 686-3519

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95000385
CA

Other

Enumeration date
09/12/2017
Last updated
09/12/2017
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