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Individual

ANDREA M JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
NN1 CALLE 32, BAYAMON, PR 00959-8077
(787) 365-7161
Mailing address
1717 AVE PONCE DE LEON PH 6, SAN JUAN, PR 00909-1972
(787) 365-7161

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6657949
PR
111N00000X
Chiropractor
Primary
904
PR

Other

Enumeration date
03/28/2023
Last updated
04/19/2023
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