Ivan Jimenez

NPI #1013671874 in Pueblo, Colorado

Provider Information

NPI Number
1013671874
Entity Type
Individual
Name
Ivan Jimenez
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Oct 27, 2021
Last Updated
Oct 27, 2021

Practice Location

Address
1817 YAKIMA LN
City
Pueblo
ZIP Code
81001-1513
Phone
(719) 243-6300

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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