LAWRENCE CORONEL JIMENEZ

PENSACOLA, FL
NPI1679917033
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-04-28
Last Update Date2018-08-16
Business Address
LAWRENCE CORONEL JIMENEZ
760 EAST AVE BLDG 3911
PENSACOLA, FL 32508
Phone number: 850-452-8970
Mailing Address
LAWRENCE CORONEL JIMENEZ
1800 BROWN RD
PENSACOLA, FL 32508-7003
Phone number: 619-944-5641