Individual
MRS. ERIN BETH JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141
(609) 317-3360
Mailing address
2001 BUTTERFIELD RD, STE 300, DOWNERS GROVE, IL 60515-1069
(630) 725-2730
(844) 205-5691
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA055366
PA
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/03/2008
Last updated
11/12/2018
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