Individual
STEPHANIE MARIE JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
7188
TX
2255A2300X
Athletic Trainer
AT7188
TX
363AM0700X
Medical Physician Assistant
Primary
PA17860
TX
Other
Enumeration date
11/01/2017
Last updated
04/01/2024
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