Individual
LISA YVETTE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18109 PRINCE PHILIP DR STE 155, OLNEY, MD 20832-1591
(301) 260-3280
Mailing address
600 WAYNE AVE, SILVER SPRING, MD 20910-5554
(301) 364-8800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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