Individual provider · Type 1 NPI
Maria Guadalupe Jimenez, REGISTERED NURSE
Ambulatory Care Registered Nurse · Newark, CA
NPI number
1487110623
Active
Practice location
6066 Civic Terrace Ave
Newark, CA 94560-3746
Fax (510) 494-7240
Mailing address
930 Blossom Way Apt 1
Hayward, CA 94541-2031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | 801885 (CA) |
Ambulatory Care Registered Nurse: Definition to come...
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About NPI 1487110623
Maria Guadalupe Jimenez, REGISTERED NURSE's National Provider Identifier is 1487110623, issued on Feb 12, 2019. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Newark, CA. The record was last updated on Feb 12, 2019.