Individual
MISS IRENE - JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,PHN
Contact information
Practice address
275 BECK AVE, FAIRFIELD, CA 94533-6804
(707) 784-8650
(707) 421-7484
Mailing address
8708 PACIFIC HILLS WAY, SACRAMENTO, CA 95828-5123
(916) 689-2056
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
288830
CA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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