Individual
JOSEPHINE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 W ORION ST, TEMPE, AZ 85283-2735
(480) 295-5640
Mailing address
804 W ORION ST, TEMPE, AZ 85283-2735
(480) 240-0278
(480) 838-9668
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL10146H
AZ
311ZA0620X
Adult Care Home Facility
Primary
AL9899H
AZ
Other
Enumeration date
04/04/2016
Last updated
04/19/2023
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