Juarez, Olivia

Juarez, Olivia is an individual health care provider with primary practice located at 17095 Main St , Hesperia CA 92345-6004. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Juarez, Olivia can be contacted via phone (760) 956-4113.

Contact Information

Primary practice address
17095 Main St Hesperia CA 92345-6004
Phone: (760) 956-4113
Fax: (760) 948-4616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 95122790 California

Profile Details

NPI number 1699434233
LBN Legal business name Juarez, Olivia
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2021
Last updated Dec 10th, 2021 - about 3 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 1699434233 NPPES
California Other 95122790 CALIFORNIA BOARD OF REGISTERED NURSING

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