Individual
EVELYN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 E FOOTHILL BLVD, PASADENA, CA 91107-3464
(626) 564-1613
Mailing address
2500 E FOOTHILL BLVD STE 300, PASADENA, CA 91107-7102
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006
—
CA
Enumeration date
04/25/2007
Last updated
07/22/2011
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