Juarez, Amanda

Juarez, Amanda is an individual health care provider with primary practice located at 215 N Fresno Suite 370, Fresno CA 93701. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Juarez, Amanda can be contacted via phone (559) 456-1560.

Contact Information

Primary practice address
215 N Fresno Suite 370 Fresno CA 93701
Phone: (559) 456-1560
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X

Profile Details

NPI number 1710474606
LBN Legal business name Juarez, Amanda
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2018
Last updated Apr 17th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710474606 NPPES
Other 1016628 CDR

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