Lisannette Marie Jimenez OTA

NPI 1174733638 - Specialist - 174400000X

NPI Details
NPI 1174733638
Gender Female
Enumeration Date 05/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
BO. CEIBA PARCELAS HEVIA # 8
CIDRA PR, 00739, US
Phone (939) 639-6856
Fax
Business Location
BO. CEIBA CASA 8
CIDRA PR, 00739, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State Puerto Rico
License Number 482
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According to our database, Mrs. Lisannette Marie Jimenez OTA NPI is 1174733638, taxonomy code is 174400000X and license number is 482, license state is located at Puerto Rico. Lisannette Marie Jimenez OTA physically located at Bo. Ceiba Parcelas Hevia # 8, Cidra PR, 00739. NPI Number Lisannette Marie Jimenez OTA has the Individual type.

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1174733638 NPI number is provided on an as is basis without warranty of any kind. 1174733638 is maintained by the National Plan & Provider Enumeration System. The contents of Lisannette Marie Jimenez OTA are for informational purposes only.