Individual
JAIME NOELLE MENJIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
27177 SECO CANYON RD, SAUGUS, CA 91350-1550
(661) 294-5340
Mailing address
24930 AVENUE STANFORD, VALENCIA, CA 91355-1272
(661) 294-5330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16113
CA
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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