MRS. Lisannette Marie Jimenez, OTA
NPI #1174733638 in Cidra, Puerto Rico
Provider Information
- NPI Number
- 1174733638
- Entity Type
- Individual
- Name
- MRS. Lisannette Marie Jimenez, OTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- OTA
- Enumeration Date
- May 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- BO. CEIBA PARCELAS HEVIA # 8
- City
- Cidra
- State
- Puerto Rico
- ZIP Code
- 00739
- Phone
- (939) 639-6856
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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Organizations
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|---|---|
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