Individual
MARISSA VELASCO JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4200
Mailing address
7006 SNOWY OWL ST, ARLINGTON, TX 76002-3378
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10374
TX
152W00000X
Optometrist
Primary
OPFC101
FL
Other
Enumeration date
07/31/2021
Last updated
10/04/2021
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