Individual
LILAH LUZ PEPITO JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4254 S ALAMEDA ST, CORPUS CHRISTI, TX 78412-2469
(361) 853-4191
(361) 853-8768
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(561) 570-5172
(786) 472-5770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F10190609
TX
Other
Enumeration date
02/13/2020
Last updated
10/11/2022
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