Individual
LAURA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 N DATE ST, ESCONDIDO, CA 92025-3413
(760) 520-8330
Mailing address
425 N DATE ST, ESCONDIDO, CA 92025-3413
(760) 737-6960
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
27840
CA
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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