Individual
LOHENGRIN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3728 S 16TH AVE, TUCSON, AZ 85713-6080
(888) 478-8432
Mailing address
211 E 7TH ST STE 700, AUSTIN, TX 78701-3218
(888) 478-8432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
303574
AZ
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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