Individual
CLAUDIA JIMENEZ FANG TAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(215) 573-2588
Mailing address
3531 PALM AVE, HIALEAH, FL 33012-5244
(215) 573-2588
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
09/19/2025
Last updated
10/24/2025
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