Luis Alfonse Jimenez Rincon
NPI #1760817977 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1760817977
- Entity Type
- Individual
- Name
- Luis Alfonse Jimenez Rincon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 6, 2013
- Last Updated
- Sep 6, 2013
Practice Location
- Address
- 3501 S 1ST ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-7916
- Phone
- (918) 813-3826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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