Individual
SUSANA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
4204A ADAMS AVE, SAN DIEGO, CA 92116-2300
(619) 410-3512
(619) 410-3512
Mailing address
4204A ADAMS AVE, SAN DIEGO, CA 92116-2300
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4068
CA
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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