Theodore Jimenez, LPN
NPI #1568054286 in Fort Carson, Colorado
Provider Information
- NPI Number
- 1568054286
- Entity Type
- Individual
- Name
- Theodore Jimenez, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Feb 4, 2021
- Last Updated
- Feb 4, 2021
Practice Location
- Address
- 1650 COCHRANE CIR UNIT MEDDAC
- City
- Fort Carson
- State
- Colorado
- ZIP Code
- 80913-4604
- Phone
- (719) 526-7422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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