Individual
MS. JASMINE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 BUENA VISTA DR, NEW CASTLE, DE 19720-4660
(302) 328-2580
Mailing address
32 BUENA VISTA DR, NEW CASTLE, DE 19720-4660
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-0001330
DE
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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