Humberto Juarez
Student in an Organized Health Care Education/Training Program in Long Beach, CA. Individual provider (NPI-1).
NPI number1982185252
StatusActive
Last updated in NPPESAug 24, 2018
Details
- NPI
- 1982185252
- Entity type
- Individual (NPI-1)
- Name
- Humberto Juarez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2018
- Last updated
- Aug 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
200 Pine AveLong Beach, CA 90802-3041
Phone 562-313-4725
Mailing address
16126 Cornuta Ave Unit 102Bellflower, CA 90706-4861
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