Individual
ELISSIA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CORDAGE PARK CIR STE 115, PLYMOUTH, MA 02360-7318
(508) 778-5470
Mailing address
10 CORDAGE PARK CIR STE 115, PLYMOUTH, MA 02360-7318
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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