Provider Demographics
NPI:1578169124
Name:JUECO, CLARO FELIPE
Entity Type:Individual
Prefix:
First Name:CLARO FELIPE
Middle Name:
Last Name:JUECO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 THORSEN AVE
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-1742
Mailing Address - Country:US
Mailing Address - Phone:209-486-2072
Mailing Address - Fax:
Practice Address - Street 1:1420 THORSEN AVE
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-1742
Practice Address - Country:US
Practice Address - Phone:209-486-2072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care