Individual
GLENDA FE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5342 DUDLEY BLVD, MCCLELLAN, CA 95652-1012
(916) 561-7520
(916) 561-7529
Mailing address
5342 DUDLEY BLVD, MCCLELLAN, CA 95652-1012
(916) 561-7520
(916) 561-7529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
653492
CA
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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