Individual
ALISON MARIE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
633 STATE STREET, DAYTONA BEACH, FL 32114
(386) 481-2920
Mailing address
1509 CLAPTON DR, DELAND, FL 32720-0853
(386) 473-0342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05210562
FL
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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