Provider Demographics
NPI:1699564963
Name:GALAN JIMENEZ, ALIAGNIS
Entity type:Individual
Prefix:
First Name:ALIAGNIS
Middle Name:
Last Name:GALAN JIMENEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:588 S STUHR RD APT 25
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-8516
Mailing Address - Country:US
Mailing Address - Phone:308-227-2095
Mailing Address - Fax:
Practice Address - Street 1:588 S STUHR RD APT 25
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-8516
Practice Address - Country:US
Practice Address - Phone:308-227-2095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant