Individual
JAIME P MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2560 N PERRIS BLVD STE N1, PERRIS, CA 92571-3251
(951) 940-6755
Mailing address
308 E SAN JACINTO AVE, PERRIS, CA 92570-2878
(951) 600-6350
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-NOUDTX
CA
Other
Enumeration date
04/05/2022
Last updated
04/07/2026
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