Individual
ANGELA SARA JIMENEZ YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
847264
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
847264
CA
164W00000X
Licensed Practical Nurse
VN 243704
CA
Other
Enumeration date
11/24/2013
Last updated
08/29/2019
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