Individual
JOHNETTE JIMINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 FAIRMOUNT AVE, 3RD FLOOR, PHILADELPHIA, PA 19130
(302) 293-1783
Mailing address
1205 VARSITY LN, BEAR, DE 19701-3914
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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