Individual
MARJORIE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
45 LANE PARK, BRIGHTON, MA 02135-3117
(617) 254-3326
Mailing address
45 LANE PARK, BRIGHTON, MA 02135-3117
(617) 254-3326
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1342
MA
Other
Enumeration date
11/13/2006
Last updated
10/24/2016
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