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Juan Jimenez

NPI 1376199760 · on the registry since 2019 · sole proprietor

Practice

Address
529 W 6th St
Port Angeles, WA 98362
Phone
(940) 627-6918

Registry record

Primary taxonomy
106E00000X
106E00000X
Also registered as
106E00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington