NPI | 1235892936 |
---|---|
Other Name | JOSUE JIMENEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95035348) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95094177) |
Enumeration Date | 2021-10-19 |
Last Update Date | 2025-08-01 |