Individual
MISS KRISTINA MARIE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
801 S POWER RD, STE 112, MESA, AZ 85206-5207
(480) 641-6600
Mailing address
14242 E BUFFALO ST, GILBERT, AZ 85296-5904
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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