Individual
LISA M JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1595 S CALUMET RD STE 3, CHESTERTON, IN 46304-2389
(219) 764-4888
(219) 889-4258
Mailing address
1595 S CALUMET RD STE 3, CHESTERTON, IN 46304-2389
(219) 764-4888
(219) 889-4258
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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