Wanda Ivette Jimenez
NPI #1972340438 in Vandenberg Afb, California
Provider Information
- NPI Number
- 1972340438
- Entity Type
- Individual
- Name
- Wanda Ivette Jimenez
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Administrator
- Enumeration Date
- Jul 11, 2024
- Last Updated
- Jul 11, 2024
Practice Location
- Address
- 338 S DAKOTA AVE
- City
- Vandenberg Afb
- State
- California
- ZIP Code
- 93437-6307
- Phone
- (805) 606-1721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Administrator — Administrator |
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