Diana Berenice Tavares Jimenez

NPI #1093140873 in Culver City, California

Provider Information

NPI Number: 1093140873
Entity Type: Individual
Name: Diana Berenice Tavares Jimenez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Sep 11, 2013
Last Updated: Jul 21, 2022

Practice Location

Address: 4760 SEPULVEDA BLVD
City: Culver City
State: California
ZIP Code: 90230-4820
Phone: (310) 390-6612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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