Individual
ELISA KAHTERINE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD INTERN
Contact information
Practice address
2217 CALLE PARRAL, WEST COVINA, CA 91792-2182
(626) 453-6234
Mailing address
2217 CALLE PARRAL, WEST COVINA, CA 91792-2182
(626) 453-6234
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PBS 31430
CA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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