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Individual

CECILE M JIMENEZ

Active
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Individual

CECILE M JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R159525
MD
363LA2100X
Acute Care Nurse Practitioner
RN967162
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60055701
BLUE SHIELD
MD
01
—
T2390018
GHI
DC
Enumeration date
08/18/2006
Last updated
04/14/2008
About Stedi
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