Individual
ELISA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 CHESTNUT ST, SANTA CRUZ, CA 95060-3669
(831) 423-9015
(831) 423-9098
Mailing address
516 CHESTNUT ST, SANTA CRUZ, CA 95060-3669
(831) 423-9015
(831) 423-9098
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
10/03/2019
Last updated
06/14/2023
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