Individual
AMANDA LAUREN JAIMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 GROSSMONT DR, WHITTIER, CA 90601-1035
(562) 743-4496
Mailing address
1126 N GRAND AVE STE D, COVINA, CA 91724-1552
(626) 967-1667
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
03/15/2013
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