Provider Demographics
NPI:1538481643
Name:JIMENEZ-JONES, ROSE ANGELES (MS)
Entity Type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:ANGELES
Last Name:JIMENEZ-JONES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 E LAS TUNAS DR # 301
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1614
Mailing Address - Country:US
Mailing Address - Phone:951-444-1202
Mailing Address - Fax:
Practice Address - Street 1:1005 E LAS TUNAS DR # 301
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1614
Practice Address - Country:US
Practice Address - Phone:951-444-1202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-17
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health