Individual
MRS. SUSANA GUADALUPE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
124 MACAW LN, SIMI VALLEY, CA 93065-3152
(805) 306-0304
(805) 306-0102
Mailing address
124 MACAW LN, SIMI VALLEY, CA 93065-3152
(805) 306-0304
(805) 306-0102
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95010834
CA
Other
Enumeration date
01/11/2019
Last updated
06/20/2023
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