Ivan Jimenez
Ivan Jimenez is an Athletic Trainer in Pueblo, Colorado. Practices as a sole proprietor. Licensed in Colorado.
- Licensed in
- CO
- In the registry since
- 2021
Practice location Address checks out
1817 Yakima LnPueblo, CO 81001-1513
Phone: (719) 243-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X (CO) |
|---|
Record details
| NPI number | 1013671874 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 27, 2021 |
| Last updated in NPPES | October 27, 2021 |
| Certification date | October 27, 2021 |
| Mailing address | 1817 Yakima Ln, Pueblo, CO 81001-1513 |
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