Individual
GENESIS JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 E BONITA AVE, POMONA, CA 91767-1906
(626) 254-5000
Mailing address
800 S SANTA ANITA AVE, ARCADIA, CA 91006-3536
(626) 254-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW123383
CA
Other
Enumeration date
08/24/2022
Last updated
06/21/2024
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