Individual
JIMETRA WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1449 MORGANA RD, JACKSONVILLE, FL 32211-4910
(904) 677-1213
Mailing address
1449 MORGANA RD, JACKSONVILLE, FL 32211-4910
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CL1276269
FL
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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