Wanda Liz Jimenez
NPI #1093494791 in Brockton, Massachusetts
Provider Information
- NPI Number
- 1093494791
- Entity Type
- Individual
- Name
- Wanda Liz Jimenez
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jul 12, 2023
- Last Updated
- Jul 12, 2023
Practice Location
- Address
- 460 BELMONT ST
- City
- Brockton
- State
- Massachusetts
- ZIP Code
- 02301-4921
- Phone
- (508) 942-5076
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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