Individual
HOLLY ANN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9890 COUNTY FARM RD STE 3, RIVERSIDE, CA 92503-3678
(951) 509-2499
Mailing address
22445 ALESSANDRO BLVD # 113-114, MORENO VALLEY, CA 92553-8358
(951) 788-8808
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
10/04/2022
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