Provider Demographics
NPI:1114610284
Name:JIMENEZ GARAY, KIMBERLY V
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:V
Last Name:JIMENEZ GARAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KIMBERLYJIMENEGARAY@SEAMARCHC.ORG
Mailing Address - Street 2:3801 150TH AVE SE
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007
Mailing Address - Country:US
Mailing Address - Phone:425-460-7114
Mailing Address - Fax:425-460-7115
Practice Address - Street 1:3801 150TH AVE SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1668
Practice Address - Country:US
Practice Address - Phone:425-460-7114
Practice Address - Fax:425-460-7115
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker