Individual
CAROLINA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1300 N DUTTON AVE, SANTA ROSA, CA 95401-7112
(707) 396-5151
Mailing address
1300 N DUTTON AVE, SANTA ROSA, CA 95401-7112
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95023502
CA
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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