Individual
MR. JOSE I JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
4621 SW 12TH ST, MIAMI, FL 33134-2714
(305) 773-0728
Mailing address
4621 SW 12TH ST, MIAMI, FL 33134-2714
(305) 773-0728
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 54086
FL
Other
Enumeration date
05/04/2010
Last updated
05/07/2010
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