Individual
JASMINE-JADE UNIQUE SHROPSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12440 N 113TH AVE APT 219, YOUNGTOWN, AZ 85363-1143
(480) 208-5269
Mailing address
12440 N 113TH AVE APT 219, YOUNGTOWN, AZ 85363-1143
(480) 208-5269
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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