Individual
MRS. JERRI LYNN JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1042 W VINEYARD PLAINS DR, SAN TAN VALLEY, AZ 85143-3467
(480) 272-8563
Mailing address
1042 W VINEYARD PLAINS DR, SAN TAN VALLEY, AZ 85143-3467
(480) 272-8563
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
9091
AZ
Other
Enumeration date
12/21/2006
Last updated
09/08/2010
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