Individual
EMILY MARY JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6001 CLARA ST, BELL GARDENS, CA 90201-4723
(562) 806-5000
Mailing address
111 S BARRANCA ST APT 310, WEST COVINA, CA 91791-2256
(626) 420-4516
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
10/11/2024
Last updated
05/02/2025
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