Individual
DR. EVELYN ESTHER JIMENEZ-MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
658 W MARKET ST, STE 117, LIMA, OH 45801-4697
(419) 222-3482
Mailing address
658 W MARKET ST, STE 117, LIMA, OH 45801-4697
(419) 222-3482
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
35069085J
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189326
—
OH
01
—
1417179730
GROUP NPI
OH
Enumeration date
06/28/2005
Last updated
07/08/2007
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