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NPI Code Detail

MEDICARE: BLANCA ROSARITA JUAREZ RICO

MEDICARE: BLANCA ROSARITA JUAREZ RICO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health WorkerCA

General Provider Information

NPI Number : 1558297176
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLANCA ROSARITA JUAREZ RICO
Provider Business Mailing Address
First Line : 1111 VAN NESS AVE
Second Line :
City : FRESNO
State : CA
Zip : 93721-2002
Country : US
Telephone Number : 559-265-3000
Fax Number :
Provider Business Practice Location Address
First Line : 5652 W GETTYSBURG AVE
Second Line :
City : FRESNO
State : CA
Zip : 93722-3749
Country : US
Telephone Number : 559-274-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2026
Last Update Date : 06/22/2026

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Directions to “ BLANCA ROSARITA JUAREZ RICO ” Practice Location

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