Individual
MRS. ANNABELLE JIMENEZ GOMEZ-BOGNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-5603
Mailing address
7785 11TH ST, BUENA PARK, CA 90621-3450
(628) 268-0005
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
633472
CA
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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