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Roxann Krystal Baeza Jimenez, M.S., CCC-SLP

Speech-Language Pathologist, in Riverside, CA. Individual provider (NPI-1).

NPI number1740069152
StatusActive
Last updated in NPPESSep 25, 2023

Details

NPI
1740069152
Entity type
Individual (NPI-1)
Name
Roxann Krystal Baeza Jimenez
Credential
M.S., CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 25, 2023
Certification date
Sep 25, 2023
Last updated
Sep 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,17424CAYes

Other names

  • Roxann Krystal Baeza (Professional Name)

Practice location

10800 Magnolia Ave
Riverside, CA 92505-3043

Phone 883-574-2273

Mailing address

10800 Magnolia Ave
Riverside, CA 92505-3043

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