Individual
MIRELLA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM61306007
Contact information
Practice address
3300 ROOSEVELT AVE, YAKIMA, WA 98902-6344
(509) 571-1455
Mailing address
3300 ROOSEVELT AVE, YAKIMA, WA 98902-6344
(509) 571-1455
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910755984
—
WA
Enumeration date
08/03/2022
Last updated
08/03/2022
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