Individual
SANDRA JIMENEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 RAMONA AVE, EL PASO, TX 79915-2314
(915) 253-0203
Mailing address
212 RAMONA AVE, EL PASO, TX 79915-2314
(915) 253-0203
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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