Individual provider · NPI-1

Danelle Juarez

Technician/Technologist · Woodland Hills, CA

NPI number1487208229
StatusActive
Last updated in NPPESJul 30, 2019

Details

NPI
1487208229
Entity type
Individual (NPI-1)
Name
Danelle Juarez
Sex
Female
Sole proprietor
No
Enumeration date
Jul 30, 2019
Last updated
Jul 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156F00000X Technician/Technologist––Yes

Practice location

21866 Ambar Dr
Woodland Hills, CA 91364-5205

Phone 888-851-3677 · Fax 888-851-3671

Mailing address

21866 Ambar Dr
Woodland Hills, CA 91364-5205

Phone 888-851-3677 · Fax 888-851-3671

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