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Individual
MS. JESSIE J. JIMENEZ RIVERA
Active
Individual
MS. JESSIE J. JIMENEZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
892
PR
Other
Enumeration date
09/14/2006
Last updated
11/23/2021
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