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Individual

PROF. REY PAOLO ERNESTO JIMENEZ ROCA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, RN, CNE, PMHPHN

Contact information

Practice address
14608 GRAYSTONE AVE, NORWALK, CA 90650-5601
(714) 494-3090
Mailing address
14608 GRAYSTONE AVE, NORWALK, CA 90650-5601

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
95241249
CA

Other

Enumeration date
06/14/2023
Last updated
06/23/2023
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