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Individual

MRS. OMAYRA JIMENEZ BARRETO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LND

Contact information

Practice address
JR1 CALLE LIZZIE GRAHAM, LEVITTOWN 7MA SEC, TOA BAJA, PR 00949-3637
(787) 261-1169
Mailing address
PO BOX 6157, SAN JUAN, PR 00914-6157
(787) 261-1169

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1242
PR

Other

Enumeration date
09/14/2010
Last updated
09/14/2010
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