Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1033430715 |
---|---|
Provider Name | Militza Jimenez |
First Address | Oceanside, CA 92056-3619 |
Second Address | Ocenside, CA 92056-3619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2010 |
Last Update Date | 17/03/2011 |