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Individual
MS. SUSAN R. JIMENEZ
Active
Individual
MS. SUSAN R. JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15363
CA
363A00000X
Physician Assistant
Primary
PA1868
NV
363LF0000X
Family Nurse Practitioner
11392
CA
Other
Enumeration date
10/09/2008
Last updated
03/03/2025
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