Individual
JACQUELINE HERNANDEZ JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 110582, HIALEAH, FL 33011-0582
(786) 440-3955
Mailing address
PO BOX 110582, HIALEAH, FL 33011-0582
(786) 440-3955
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CBHCM103190
FL
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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