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Quetzalli Noemi Juarez-Serrano

Adult Companion

Nursing Service Related Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Quetzalli Noemi Juarez-Serrano does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1992482103
Provider Type
Individual
Full Name
Juarez-Serrano, Quetzalli Noemi
Credential
BA

Gender
Female
Sole Proprietor
No
Enumeration Date
6/29/2023
Last Updated
5/14/2025

Contact Information

Practice Location

1001 Needham St, Modesto, CA 95354-0730

(209) 569-0373

Unlisted Fax

Mailing Location

1001 Needham St, Modesto, CA 95354-0730

(209) 569-0373

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 372600000X Primary	Description Adult Companion Nursing Service Related Providers	License Unlisted Issuer
Code 171M00000X	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer
Code 175T00000X	Description Peer Specialist Other Service Providers	License Unlisted Issuer

Quetzalli Noemi Juarez-Serrano

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

King, Alicia Angela

Courtney, Jessica

Elmore, Hannah

Morales, Bryanna

Samandari, Ariana

Quintana, Johniece R

Stine, Dawn

Meza, Esperanza

Heinle, Ruth Renee'

Gonzalez Marquez, Lizbeth