Individual
NICHSMA JIMENEZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DHSC
Contact information
Practice address
75 CALL KRUG, SAN JUAN, PR 00936-2656
(787) 344-3992
Mailing address
PO BOX 362656, SAN JUAN, PR 00936-2656
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
224077
IL
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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