Most Relevant Information
Provider Data
| NPI Number: | 1003599317 |
| Provider Name: | RACHELLE JABINES GIMINO |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | 7984 |
Most Important Dates
| Enumeration Date: | 08/11/2023 |
| Last Updated: | 08/11/2023 |
Provider Practice Location
15203 LORNE ST
PANORAMA CITY
CA
914024416
Practice Location Phone/Fax
| Phone: | 3236289114 |
| Fax: |
Provider Mailing Location
15203 LORNE ST
PANORAMA CITY
CA
914024416
Provider Mailing Phone/Fax
| Phone: | 3236289114 |
| Fax: |