Individual
MS. ANGELICA ZAMBRANO JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
241 E LAKE AVE, WATSONVILLE, CA 95076-4717
(831) 688-8856
(831) 728-3629
Mailing address
241 E LAKE AVE, WATSONVILLE, CA 95076-4717
(831) 688-8856
(831) 728-3629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ91892Z
SANTA CRUZ MEDICARE GROUP PTAN#
CA
Enumeration date
09/27/2012
Last updated
09/27/2012
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