Alise Juanes, ATC

NPI 1144597907 · on the registry since 2011

Practice

Address: 55 Fair Dr
Attn: Athletics
Costa Mesa, CA 92626
Phone: (714) 556-3610
Fax: (714) 662-5259
Organisation at this address: Vanguard University
San Diego Happy Babies
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California