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Individual

MS. SUSAN R. JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP, PA-C

Contact information

Practice address
8754 STEELHEAD CT, RENO, NV 89523-8948
(650) 556-4165
Mailing address
8754 STEELHEAD CT, RENO, NV 89523-8948

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15363
CA
363A00000X
Physician Assistant
Primary
PA1868
NV
363LF0000X
Family Nurse Practitioner
11392
CA

Other

Enumeration date
10/09/2008
Last updated
03/03/2025
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