Sophie Pena Jimenez, RADT

NPI #1912628660 in Gorman, California

Provider Information

NPI Number: 1912628660
Entity Type: Individual
Name: Sophie Pena Jimenez, RADT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: RADT
Enumeration Date: Sep 9, 2022
Last Updated: Sep 9, 2022

Practice Location

Address: 49713 GORMAN POST RD
City: Gorman
State: California
ZIP Code: 93243-9701
Phone: (661) 724-0001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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