Juanes, Alise Marie

Juanes, Alise Marie is an individual health care provider with primary practice located at 55 Fair Dr Attn: Athletics, Costa Mesa CA 92626-6520. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Juanes, Alise Marie can be contacted via phone (714) 556-3610.

Contact Information

Primary practice address
55 Fair Dr Attn: Athletics Costa Mesa CA 92626-6520
Phone: (714) 556-3610
Fax: (714) 662-5259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X California

Profile Details

NPI number 1144597907
LBN Legal business name Juanes, Alise Marie
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2011
Last updated Nov 22nd, 2011 - about 13 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.

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