Individual
MASSIEL JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
375 WAMPANOAG TRL STE 301, RIVERSIDE, RI 02915-2235
(401) 649-4050
Mailing address
2 DUDLEY ST, MOC BUILDING, SUITE 370, PROVIDENCE, RI 02905
(401) 444-2248
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
06/16/2026
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