Individual
ANGELICA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8755 AERO DR STE 230, SAN DIEGO, CA 92123-1750
(858) 256-2180
Mailing address
8755 AERO DR STE 230, SAN DIEGO, CA 92123-1750
(858) 256-2180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/04/2020
Last updated
07/27/2020
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