Individual
MS. CLARA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14919 EL MOLINO ST, FONTANA, CA 92335-7202
(909) 641-1694
Mailing address
14919 EL MOLINO ST, FONTANA, CA 92335-7202
(909) 641-1694
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN195253
CA
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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