Individual
LILIAN HERLINDA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA67888
Contact information
Practice address
1730 SEPULVEDA BLVD, TORRANCE, CA 90501-5645
(310) 341-7022
Mailing address
1730 SEPULVEDA BLVD, TORRANCE, CA 90501-5645
(310) 409-4268
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA67888
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RDA67888
—
CA
05
—
RDA67888
—
CO
Enumeration date
06/05/2018
Last updated
06/16/2018
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