| NPI | 1659831725 |
|---|---|
| Professional Name | JOHNNY JIMENEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95011333) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95039845) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2022-09-27 |