Individual
GABRIELA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2695 S 4TH ST, SUITE E, EL CENTRO, CA 92243-6012
(760) 336-4073
Mailing address
1075 MANZANITA DR, EL CENTRO, CA 92243-6149
(760) 336-4073
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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