Juarez, Terri L

Juarez, Terri L is an sole proprietor health care provider with primary practice located at 2200 E Donlon St Apt 2456B , Blythe CA 92225-3039. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Juarez, Terri L can be contacted via phone (951) 390-5818.

Contact Information

Primary practice address
2200 E Donlon St Apt 2456B Blythe CA 92225-3039
Phone: (951) 390-5818
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X B4889035 California

Profile Details

NPI number 1770209868
LBN Legal business name Juarez, Terri L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2022
Last updated Oct 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770209868 NPPES
California MEDICAID 89-2539459
California Other 86-2539459
California MEDICAID 86-2539459

Popular Providers