Doctor Name: | NURI JIMENEZ-ESTRADA |
NPI Number: | 1578752366 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 441 N Main St Alturas, CA - 961013457 |
Business Phone Number: | 5302336312 |
Business Fax Number: | |
Mailing Address: | 608 W 3rd St, ALTURAS |
State: | CA |
Postal Code: | 961013814 |
Phone Number: | 5302330940 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2007 |
NPI Last Update Date: | 10/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |