Individual
GRACIELA AZUCENA JUMIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13001 RAMONA BLVD STE A, IRWINDALE, CA 91706-3752
(626) 373-2900
Mailing address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 543-2800
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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