Individual
IMELDA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12128 ROSETON AVE, NORWALK, CA 90650-2353
(323) 516-8426
Mailing address
12128 ROSETON AVE, NORWALK, CA 90650-2353
(323) 516-8426
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
262261
CA
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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