Individual
IRENE ELENA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W ADA AVE, GLENDORA, CA 91741-4241
(626) 335-9810
Mailing address
2917 BRONCO DR, ONTARIO, CA 91761-9150
(714) 400-8834
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26713
CA
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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