Individual
MR. RAMIRO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8638
Mailing address
47831 PANSY ST, INDIO, CA 92201-8301
(760) 774-5967
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
623732
CA
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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