Individual
IVONNE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 S 37TH ST, RICHMOND, CA 94804-3209
(510) 480-9336
Mailing address
212 S 37TH ST, RICHMOND, CA 94804-3209
(510) 480-9336
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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