Individual
BRENDA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2201 LEONARD RD TRLR 38, BRYAN, TX 77803-4451
(979) 255-7193
Mailing address
2201 LEONARD RD TRLR 38, BRYAN, TX 77803-4451
(979) 255-7193
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344068
TX
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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