Individual
MS. LIDIA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
536 ELM STREET, ROSENHAYN, NJ 08352
(856) 451-3410
(856) 451-5053
Mailing address
PO BOX 130, ROSENHAYN, NJ 08352-0130
(856) 451-3410
(856) 451-5053
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
26NPO5264400
NJ
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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