Individual
ELIZABETH JUAREZ GURROLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 INDUSTRIAL BLVD SPC C29, CHULA VISTA, CA 91911-2679
(619) 518-3212
Mailing address
511 DENNERY RD APT 157, SAN DIEGO, CA 92154-8571
(619) 852-1405
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D7564004
DRIVER LICENSE
CA
Enumeration date
12/31/2020
Last updated
01/25/2021
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