Individual
ADRIANA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3446 40TH ST, SAN DIEGO, CA 92105-4029
(619) 941-5204
Mailing address
3446 40TH ST, SAN DIEGO, CA 92105-4029
(619) 941-5204
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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