Mr. JESUS E JUAREZ CASILLAS
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1003496969- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 18092 WIKA RD STE 140, APPLE VALLEY, CA, 923072132
- Phone
- (760) 503-5910
Specialties & Taxonomies
Unknown
Primary License: CA #A181022
All Addresses
MAILING
PO BOX 10297
BAKERSFIELD, CA, 933890297