Individual
GARY GUILLERMO JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
143 13TH ST APT 2F, BROOKLYN, NY 11215-4628
(347) 445-3633
Mailing address
143 13TH ST APT 2F, BROOKLYN, NY 11215-4628
(347) 445-3633
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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