Individual
JOSE JIMENEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.C.
Contact information
Practice address
12838 S 50TH WAY, PHOENIX, AZ 85044-4132
(480) 361-9578
Mailing address
12838 S 50TH WAY, PHOENIX, AZ 85044-4132
(480) 361-9578
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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