Provider Demographics
NPI:1881429116
Name:ULRICH, JAIMIS REBECCA (EDD, CHT)
Entity type:Individual
Prefix:DR
First Name:JAIMIS
Middle Name:REBECCA
Last Name:ULRICH
Suffix:
Gender:F
Credentials:EDD, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14751 TETON DR
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-4330
Mailing Address - Country:US
Mailing Address - Phone:562-280-6345
Mailing Address - Fax:
Practice Address - Street 1:14751 TETON DR
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-4330
Practice Address - Country:US
Practice Address - Phone:562-280-6345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty