Search › California › 1041C0700X
Courtney Gimenez
NPI 1225695406 · on the registry since 2019 · sole proprietor
Practice
- Address
- 100 Poplar Ave
Modesto, CA 95354 - Phone
- (209) 523-4573
- Organisation at this address
- County Of Stanislaus
Sierra Vista Family And Child ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 45
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YP2500X
171M00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California