Individual
JOHANNA MARIA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1725 E BILBY RD, TUCSON, AZ 85706-4430
(520) 545-5447
Mailing address
1725 E BILBY RD, TUCSON, AZ 85706-4430
(520) 545-5447
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
009210
AZ
Other
Enumeration date
01/15/2019
Last updated
08/06/2021
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