Individual
MRS. AZUCENA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
5005 TEXAS ST, SUITE 203, SAN DIEGO, CA 92108-3721
(619) 692-0727
Mailing address
5821 CUMBERLAND ST, SAN DIEGO, CA 92139-3001
(858) 336-1699
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9880
UBH
CA
Enumeration date
01/29/2007
Last updated
09/09/2009
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