Individual
DR. AMANDA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
43 SMITH RD, NEWPORT, RI 02841-1006
(401) 841-6716
Mailing address
43 SMITH RD, NEWPORT, RI 02841-1006
(401) 841-6716
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002232
PA
152W00000X
Optometrist
PAOEG002232
PA
Other
Enumeration date
07/29/2009
Last updated
09/08/2024
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