Individual
DOMINIQUE NICOLE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20610 CAMPBELLTON RD LOT B, SAN ANTONIO, TX 78264-4422
(210) 701-6101
Mailing address
20610 CAMPBELLTON RD LOT B, SAN ANTONIO, TX 78264-4422
(210) 701-6101
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TX
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
06/20/2023
Last updated
06/05/2025
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