Individual
JANICE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
330 E 8TH ST, NATIONAL CITY, CA 91950-2312
(619) 662-4100
Mailing address
1275 30TH ST, SAN DIEGO, CA 92154-3476
(619) 662-4100
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
27683
CA
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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