Individual
BERNARDO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9320 VARNA AVE, ARLETA, CA 91331-5915
(818) 824-0017
Mailing address
9320 VARNA AVE, ARLETA, CA 91331-5915
(818) 824-0017
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/07/2016
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