Individual
DAEVRISSA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 N TUSTIN AVE, SANTA ANA, CA 92705-3502
(714) 953-3500
Mailing address
1001 N TUSTIN AVE, SANTA ANA, CA 92705-3502
(714) 953-3500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95004533
CA
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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