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Individual

JENNIFER JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2856 BOONE AVE SW, WYOMING, MI 49519-2545
(616) 881-2921
Mailing address
2856 BOONE AVE SW, WYOMING, MI 49519-2545

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703131931
MI

Other

Enumeration date
08/20/2025
Last updated
08/20/2025
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