Individual
MISS MAYELIN JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
287 MAIN ST, SUITE A-2, EAST HARTFORD, CT 06118-1885
(860) 785-6052
Mailing address
287 MAIN ST, SUITE A-2, EAST HARTFORD, CT 06118-1885
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PTN0003076
CT
Other
Enumeration date
06/14/2012
Last updated
03/24/2016
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