Individual
EVA CRISTINA JIMENEZ MORONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2180 VALLEY BLVD, POMONA, CA 91768-3325
(909) 865-2336
(909) 629-5294
Mailing address
2180 VALLEY BLVD, POMONA, CA 91768-3325
(909) 865-2336
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
95196807
CA
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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