Mark Jimerson's National Provider Identifier (NPI) Details
Mark Jimerson, LICSW
NPI: 1649317041
Enumeration Date: 2007-02-01
Last updated: 2018-08-13
Sole Proprietor: YES
Status: active
Postal Address: 954 AVE PONCE DE LEON STE 405C, SAN JUAN, PR
Phone: 413-636-5691
Primary Practice Address: PO BOX 79872, CAROLINA, PR
Practice's phone: 413-636-5691