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Individual
ELIZABETH CHRISTINE JIMENEZ
Active
Individual
ELIZABETH CHRISTINE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
51547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D400090521
MEDICARE PTAN
—
Enumeration date
12/07/2010
Last updated
08/12/2025
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