Individual
MS. LILLY JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 E KINGS CANYON RD FL 2, FRESNO, CA 93702-3604
(594) 531-0085
(559) 442-5277
Mailing address
4411 E KINGS CANYON RD FL 2, FRESNO, CA 93702-3604
(594) 531-0085
(559) 442-5277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
468989
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
468989
CA
Other
Enumeration date
08/01/2007
Last updated
07/12/2019
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