Individual
ENID DELMARIE JIMENEZ CUEBAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9330 STATE ROAD 54 STE 404, TRINITY, FL 34655-1808
(727) 834-4868
Mailing address
9330 STATE ROAD 54 STE 404, TRINITY, FL 34655-1808
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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