Individual
SUEHADEE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 CHASE PKWY, SUITE 2A, WATERBURY, CT 06708-3346
(203) 755-6677
(203) 755-7166
Mailing address
500 CHASE PKWY, SUITE 2A, WATERBURY, CT 06708-3346
(203) 755-6677
(203) 755-7166
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002246
CT
Other
Enumeration date
02/03/2009
Last updated
01/24/2012
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