Michael S Jimenez, IDC
NPI #1023143575 in Chula Vista, California
Provider Information
- NPI Number
- 1023143575
- Entity Type
- Individual
- Name
- Michael S Jimenez, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Feb 23, 2007
- Last Updated
- Jul 26, 2007
Practice Location
- Address
- 754 RAMBUR ST
- City
- Chula Vista
- State
- California
- ZIP Code
- 91911-6929
- Phone
- (619) 572-8323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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