Individual
JESLY ANAI JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 GAZEBO POND LN APT 1214, TAMPA, FL 33613-2038
(559) 374-8223
Mailing address
3727 GAZEBO POND LN APT 1214, TAMPA, FL 33613-2038
(559) 374-8223
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
11/29/2023
Last updated
12/04/2023
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