Individual
MILITZA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3142 VISTA WAY, 205, OCENSIDE, CA 92056-3619
(760) 758-1480
Mailing address
3142 VISTA WAY, 205, OCEANSIDE, CA 92056-3619
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
06/17/2010
Last updated
03/17/2011
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