Individual
DIANA JIMENEZ GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14335 SW 120TH ST STE 112, MIAMI, FL 33186-7295
(305) 544-4111
Mailing address
14335 SW 120TH ST STE 112, MIAMI, FL 33186-7295
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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