Individual
DESIREE JIMMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1174 MONTECITO DR, LOS ANGELES, CA 90031-1637
(323) 559-6961
Mailing address
15101 FAIRFIELD RANCH RD, CHINO HILLS, CA 91709
(323) 559-6961
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95396299
CA
Other
Enumeration date
01/26/2022
Last updated
03/26/2025
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