Individual
ELIZABETH JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2306 DEWITT ST, IRVING, TX 75062-4209
(214) 636-8098
Mailing address
2306 DEWITT ST, IRVING, TX 75062-4209
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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