Individual
MRS. JENNIFER DIANE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
118 S SUNFLOWER AVE, OBERLIN, KS 67749-4956
(785) 470-7677
Mailing address
118 S SUNFLOWER AVE, OBERLIN, KS 67749-4956
(785) 470-7677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1485
NE
235Z00000X
Speech-Language Pathologist
2333
KS
Other
Enumeration date
12/21/2014
Last updated
12/21/2014
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