JUANITA BLUE

LEMON GROVE, CA
NPI1073698668
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: CA  362512)
Enumeration Date2006-10-25
Last Update Date2007-07-08
Business Address
-- JUANITA BLUE CNA
7922 PALM ST
LEMON GROVE, CA 91945-2956
Phone number: 619-464-3488
Mailing Address
-- JUANITA BLUE CNA
6826 CEDRAL PL
LEMON GROVE, CA 91945-1302
Phone number:
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