Individual
CARLOS E JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1640 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1826
(702) 647-2583
(702) 647-2511
Mailing address
1640 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1826
(702) 647-2583
(702) 647-2511
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
586
NV
Other
Enumeration date
04/04/2006
Last updated
03/16/2011
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