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Individual

ANDREA JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
7323 UNIVERSITY AVE, LA MESA, CA 91942-0555
(760) 703-6813
Mailing address
7323 UNIVERSITY AVE, LA MESA, CA 91942-0555

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/20/2021
Last updated
02/20/2021
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