Individual
THEODORE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1810 THRELKEL ST, RENO, NV 89512-3713
(775) 325-8297
Mailing address
11620 CLAIM STAKE DR, RENO, NV 89506-7529
(775) 340-6326
(775) 525-2426
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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