Individual
MICHAEL ROBERT JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
561 MELISSA DR, OXFORD, OH 45056-2537
(614) 832-5961
Mailing address
6475 MEADOWBROOK CIR, WORTHINGTON, OH 43085-2864
(614) 832-5961
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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