Individual
IRIDIAN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8330 RESEDA BLVD, NORTHRIDGE, CA 91324-4619
(818) 996-1051
Mailing address
8330 RESEDA BLVD, NORTHRIDGE, CA 91324-4619
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
07/07/2023
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