Individual
GUADALUPE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 W 29TH ST, TUCSON, AZ 85713-3345
(520) 309-1877
Mailing address
126 W 29TH ST, TUCSON, AZ 85713-3345
(520) 309-1877
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP054458
AZ
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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