Jimenez, Mirella
Jimenez, Mirella is an individual health care provider with primary practice located at 3300 Roosevelt Ave , Yakima WA 98902-6344. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Health Information, which is considered as her primary health care specialty. Jimenez, Mirella can be contacted via phone (509) 571-1455.Contact Information
Primary practice address
3300 Roosevelt Ave
Yakima WA 98902-6344
Phone: (509) 571-1455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Health Information | 247000000X |
Profile Details
| NPI number | 1518694132 |
|---|---|
| LBN Legal business name | Jimenez, Mirella |
| Credentials | CM61306007 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2022 |
| Last updated | Aug 3rd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518694132 | NPPES |
| Washington | MEDICAID | 910755984 |
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