Individual
MONICA JAIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
H.A.D.
Contact information
Practice address
8263 GROVE AVE STE 203, RANCHO CUCAMONGA, CA 91730-3107
(909) 920-9906
(909) 920-4151
Mailing address
8263 GROVE AVE STE 203, RANCHO CUCAMONGA, CA 91730-3107
(909) 920-9906
(909) 920-4151
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA8442
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164559456
—
CA
Enumeration date
01/16/2019
Last updated
01/16/2019
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