Individual
LESLY JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3221 KENSINGTON AVE, PHILADELPHIA, PA 19134-1934
(215) 425-6900
(215) 423-9600
Mailing address
3255 KENSINGTON AVE, PHILADELPHIA, PA 19134-1935
(215) 423-5000
(215) 423-9600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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