Elvia Divina Jimenez Ciriaco

NPI #1770384596 in Immokalee, Florida

Provider Information

NPI Number: 1770384596
Entity Type: Individual
Name: Elvia Divina Jimenez Ciriaco
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 19, 2025
Last Updated: Mar 20, 2025

Practice Location

Address: 1454 MADISON AVE W FL 34142
City: Immokalee
State: Florida
ZIP Code: 34142-2200
Phone: (239) 658-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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Organizations

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