Individual
DORA E JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
327 S K ST, TULARE, CA 93274-5416
(559) 688-2043
(559) 688-1304
Mailing address
327 S K ST, TULARE, CA 93274-5416
(559) 688-2043
(559) 688-1304
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 186689
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VN 186689
BVN LICENSE #
CA
Enumeration date
03/09/2007
Last updated
07/08/2007
About Stedi
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