Individual
STACEY JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6504 ROCK CREEK CIR, OKLAHOMA CITY, OK 73132-2004
(405) 503-7606
Mailing address
6504 ROCK CREEK CIR, OKLAHOMA CITY, OK 73132-2004
(405) 503-7606
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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