Individual
MRS. ELIA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
15913 GEORGIA AVE, PARAMOUNT, CA 90723-5103
(562) 630-7012
Mailing address
15913 GEORGIA AVE, PARAMOUNT, CA 90723-5103
(562) 630-7012
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
37312
CA
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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