Individual
ILEANA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
349 NE 31ST AVE, HOMESTEAD, FL 33033-7266
(786) 208-2087
Mailing address
349 NE 31ST AVE, HOMESTEAD, FL 33033-7266
(786) 208-2087
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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