Jesse Suarez

NPI #1114649316 in El Centro, California

Provider Information

NPI Number: 1114649316
Entity Type: Individual
Name: Jesse Suarez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Sep 14, 2022
Last Updated: Sep 14, 2022

Practice Location

Address: 1802 N IMPERIAL AVE STE D130
City: El Centro
State: California
ZIP Code: 92243-1325
Phone: (855) 832-6717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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