Individual
MISS RACHELLE JABINES GIMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15203 LORNE ST, PANORAMA CITY, CA 91402-4416
(323) 628-9114
Mailing address
15203 LORNE ST, PANORAMA CITY, CA 91402-4416
(323) 628-9114
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7984
CA
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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