Susana Jimenez, LMT

NPI #1164038279 in Port Angeles, Washington

Provider Information

NPI Number: 1164038279
Entity Type: Individual
Name: Susana Jimenez, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 23, 2020
Last Updated: Sep 23, 2020

Practice Location

Address: 104 N LAUREL ST STE 101
City: Port Angeles
State: Washington
ZIP Code: 98362-2637
Phone: (360) 809-3325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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