Individual
AMANDA DALIA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
7721 PACIFIC BLVD, WALNUT PARK, CA 90255-6301
(310) 553-2695
Mailing address
2226 LOCHNESS CIR, CORONA, CA 92881-3200
(714) 483-0134
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2867
CA
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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