Individual
ANGELA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSLD
Contact information
Practice address
8831 VILLA LA JOLLA DR, LA JOLLA, CA 92037-1949
(858) 888-4791
(858) 451-6990
Mailing address
11605 N LAMAR BLVD, AUSTIN, TX 78753-2658
(737) 222-6996
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
41441
CA
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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