Individual
JAVIER ALEXANDER HERRERA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 SNOOK PL, KISSIMMEE, FL 34759-4800
(407) 552-9238
Mailing address
1705 SNOOK PL, KISSIMMEE, FL 34759-4800
(407) 552-9238
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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