JUAN ANTONIO JIMENEZ

LAKE VIEW TERRACE, CA
NPI1548732191
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-12-20
Last Update Date2018-12-20
Business Address
JUAN ANTONIO JIMENEZ
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number: 661-406-8764
Mailing Address
JUAN ANTONIO JIMENEZ
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number: 661-406-8764
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