Delilah Juarez

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Corcoran, CA

NPI 1336968643 · NPPES record last updated Oct 4, 2024

Key facts

NPI
1336968643
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
900 Quebec Ave
Corcoran, CA 93212-9715
Phone
(559) 992-7100
NPI assigned
Oct 4, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

900 Quebec Ave
Corcoran, CA 93212-9715

Mailing address

PO Box 6712
Visalia, CA 93290-6712

Other providers in Corcoran, CA

All providers in Corcoran, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.