Individual
AMIE LLERENA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 ALBERTA AVE, DEPT. OF EMERGENCY MEDICINE, EL PASO, TX 79905-2709
(915) 545-7330
Mailing address
1060 MARCINE ST, LA HABRA, CA 90631-3325
(562) 209-2643
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A110037
CA
207P00000X
Emergency Medicine Physician
BP10021595
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720267495
—
CA
Enumeration date
10/30/2007
Last updated
07/06/2010
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