Individual
INDIRA M JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
693 PALOMAR ST STE 7, CHULA VISTA, CA 91911-2674
(619) 691-9001
Mailing address
4425 HILLTOP DR, SAN DIEGO, CA 92102-3650
(619) 302-2756
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95183554
CA
Other
Enumeration date
11/02/2019
Last updated
11/02/2019
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