Individual
MRS. HANNA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 SW A AVE, LAWTON, OK 73501-3930
(580) 699-5523
Mailing address
2803 NW 23RD ST, LAWTON, OK 73505-2121
(951) 893-0190
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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