Search › Pennsylvania › 1041C0700X
Antonia Jimenez-Trail
NPI 1396695284 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1123 Marlyn Rd
Phila, PA 19151 - Phone
- (215) 240-2745
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-30
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 Pennsylvania