Individual
ADELYN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16110 JAMAICA AVE FL 2, JAMAICA, NY 11432-6139
(718) 704-5488
Mailing address
16110 JAMAICA AVE FL 2, JAMAICA, NY 11432-6139
(718) 704-5488
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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