Individual
MRS. IRMA M JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
9120 W WILSHIRE AVE, PHOENIX, AZ 85037-4249
(623) 329-6757
Mailing address
9120 W WILSHIRE AVE, PHOENIX, AZ 85037-4249
(623) 329-6757
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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