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Individual

JANIRCA JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
61 PIEDMONT ST, LYNN, MA 01904-1906
(781) 244-0743
Mailing address
61 PIEDMONT ST, LYNN, MA 01904-1906

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S54686646
MA

Other

Enumeration date
04/21/2017
Last updated
04/21/2017
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