Individual
AQUILINA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL INSTRUCTOR
Contact information
Practice address
1911 ANTHONY AVE APT 2C, BRONX, NY 10457-5388
(718) 731-9533
Mailing address
1911 ANTHONY AVE APT 2C, BRONX, NY 10457-5388
(718) 731-9533
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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