NICHOLAS DAMIEN JUAREZ

LOS ANGELES, CA
NPI1912500612
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2020-11-17
Last Update Date2020-11-17
Business Address
NICHOLAS DAMIEN JUAREZ
6502 N FIGUEROA ST
LOS ANGELES, CA 90042-2101
Phone number: 310-359-2149
Mailing Address
NICHOLAS DAMIEN JUAREZ
6502 N FIGUEROA ST
LOS ANGELES, CA 90042-2101
Phone number: 310-359-2149