JUAN MIGUEL JIMENEZ

EDMOND, OK
NPI1295341337
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-09-22
Last Update Date2020-09-23
Business Address
JUAN MIGUEL JIMENEZ
713 NW 139TH ST
EDMOND, OK 73013-1912
Phone number: 702-249-1309
Mailing Address
JUAN MIGUEL JIMENEZ
713 NW 139TH ST
EDMOND, OK 73013-1912
Phone number: 702-249-1309