SAMUEL JIMENEZ

DETROIT, MI
NPI1316568710
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-27
Last Update Date2023-04-24
Business Address
SAMUEL JIMENEZ DO
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201-2153
Phone number: 313-745-4627
Mailing Address
SAMUEL JIMENEZ DO
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201-2153
Phone number: 313-745-5147