Provider Demographics
NPI:1073949756
Name:NARVAEZ, JANICE ANN (ATC)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:ANN
Last Name:NARVAEZ
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35267 RAMSGATE DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-1442
Mailing Address - Country:US
Mailing Address - Phone:415-577-1976
Mailing Address - Fax:
Practice Address - Street 1:35267 RAMSGATE DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-1442
Practice Address - Country:US
Practice Address - Phone:415-577-1976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer