Individual
BERNIE D. JAIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 S TUSTIN ST BLDG D, ORANGE, CA 92866-2550
(714) 289-3936
(714) 289-3938
Mailing address
401 S TUSTIN ST BLDG D, ORANGE, CA 92866-2550
(714) 289-3936
(714) 289-3938
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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