Provider Demographics
NPI:1093433476
Name:FLORES, JULIANA DENISE
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:DENISE
Last Name:FLORES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6312 73RD ST APT 914
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-1962
Mailing Address - Country:US
Mailing Address - Phone:254-652-2246
Mailing Address - Fax:
Practice Address - Street 1:6312 73RD ST APT 914
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1962
Practice Address - Country:US
Practice Address - Phone:254-652-2246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer