Individual
MARCELA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
548 PARK AVENUE, WORCESTER, MA 01603
(774) 823-1500
Mailing address
548 PARK AVENUE SUITE B, WORCESTER, MA 01603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2280037
MA
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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