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Mayda Jimenez

Community Health Worker in Hawthorne, CA. Individual provider (NPI-1).

NPI number1760500045
StatusActive
Last updated in NPPESMar 17, 2021

Details

NPI
1760500045
Entity type
Individual (NPI-1)
Name
Mayda Jimenez
Sex
Female
Sole proprietor
No
Enumeration date
Mar 26, 2007
Certification date
Mar 17, 2021
Last updated
Mar 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes
225400000X Rehabilitation Practitioner––

Practice location

2311 W El Segundo Blvd
Hawthorne, CA 90250-3315

Phone 323-241-6996

Mailing address

526 Fairhaven St
Carson, CA 90745-5529

Phone 310-952-1067

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Other Community Health Worker providers in Hawthorne, CA

All 6 Community Health Worker providers in Hawthorne · All 1,167 providers in Hawthorne

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