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Individual

KIANA JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CTRS/R

Contact information

Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5937
Mailing address
24615 64TH AVE S APT C231, KENT, WA 98032-6345

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
WA

Other

Enumeration date
10/23/2023
Last updated
10/23/2023
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