Individual
IDIELYN JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4147 W 8TH AVE, HIALEAH, FL 33012-3829
(786) 681-5419
Mailing address
4147 W 8TH AVE, HIALEAH, FL 33012-3829
(786) 681-5419
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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