Individual
ANDREA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 5TH AVE, SACRAMENTO, CA 95817-2799
(916) 520-7496
Mailing address
3200 5TH AVE, SACRAMENTO, CA 95817-2799
(916) 520-7496
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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