Individual
MARIA DE LOURDES JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
311 E MEMORIAL BLVD, LAKELAND, FL 33801-1766
(863) 688-1386
(863) 683-6170
Mailing address
311 E MEMORIAL BLVD, LAKELAND, FL 33801-1766
(863) 688-1386
(863) 683-6170
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
66944
FL
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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