Individual
ELVIA DIVINA JIMENEZ CIRIACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1454 MADISON AVE W FL 34142, IMMOKALEE, FL 34142-2200
(239) 658-3000
Mailing address
821 HOLLINS ST APT 2B, BALTIMORE, MD 21201-1042
(305) 878-2639
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/20/2025
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