Blue Phoenix Jauregui
NPI #1346046232 in Marina, California
Provider Information
- NPI Number
- 1346046232
- Entity Type
- Individual
- Name
- Blue Phoenix Jauregui
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 20, 2025
- Last Updated
- Feb 20, 2025
Practice Location
- Address
- 3116 LAKE DR APT 20
- City
- Marina
- State
- California
- ZIP Code
- 93933-2834
- Phone
- (510) 882-4728
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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