Individual
MRS. ANGELA ANN JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
422 RUSHMORE LN APT 2, MADISON, WI 53711-1144
(609) 949-0548
Mailing address
422 RUSHMORE LN APT 2, MADISON, WI 53711-1144
(609) 949-0548
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
332671-31
WI
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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