Individual
MARK A JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P,T.A.
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0496
NV
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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