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Individual

ELIZABETH LORENA JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
801 E CHAPMAN AVE, FULLERTON, CA 92831-3839
(714) 680-8200
Mailing address
801 E CHAPMAN AVE, FULLERTON, CA 92831-3839
(714) 680-8200

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
02/24/2009
Last updated
11/11/2013
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