Individual
MIGUEL JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 COLORADO AVE, TURLOCK, CA 95382-2713
(209) 342-7353
Mailing address
1822 STAGELINE CIR, ROCKLIN, CA 95765-5470
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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