Individual
JAILENE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2212 E 4TH ST STE 301, SANTA ANA, CA 92705-3873
(714) 628-3242
Mailing address
2357 CLAUDIA ST, CORONA, CA 92882-8099
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
08/15/2023
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