Individual
ANDREW DAVID JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
830 AMLEY PL, APEX, NC 27523-6419
(631) 219-9559
Mailing address
830 AMLEY PL, APEX, NC 27523-6419
(631) 219-9559
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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