Provider Demographics
NPI:1821895285
Name:JIMENEZ, CLAUDEA AMERICA
Entity type:Individual
Prefix:
First Name:CLAUDEA
Middle Name:AMERICA
Last Name:JIMENEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:CLAUDEA
Other - Middle Name:A
Other - Last Name:JIMENEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:505 N 2ND ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-2314
Mailing Address - Country:US
Mailing Address - Phone:956-401-0769
Mailing Address - Fax:
Practice Address - Street 1:505 N 2ND ST UNIT 1
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-2314
Practice Address - Country:US
Practice Address - Phone:956-401-0769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA984121171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter