Individual
LISSETTE RAFAELINA JIMENEZ-CANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED.
Contact information
Practice address
31 PALMETTO ST, BROOKLYN, NY 11221-4306
(718) 919-6531
Mailing address
31 PALMETTO ST, BROOKLYN, NY 11221-4306
(718) 919-6531
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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