Individual
JOSE ALFREDO JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7500 VISCOUNT BLVD, EL PASO, TX 79925-5638
(915) 838-7604
Mailing address
12466 PASEO LAGO DR, EL PASO, TX 79928-5683
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111144
TX
Other
Enumeration date
03/16/2007
Last updated
06/22/2011
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