Individual
MRS. ANGEL STAR JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1431 E CAMPBELL AVE, PHOENIX, AZ 85014-4225
(602) 664-7522
Mailing address
7045 N 12TH ST, PHOENIX, AZ 85020-5401
(602) 481-5974
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN166691
AZ
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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