Individual
ANA VANESSA GODINES JIMENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3101 BURNET AVE, CINCINNATI, OH 45229-3014
(513) 257-7289
Mailing address
7013 WALLACE AVE, CINCINNATI, OH 45243-2618
(513) 257-4503
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.007618RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
01/10/2021
Last updated
06/30/2022
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