Individual
JASMINE JIJON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 791-1586
Mailing address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 791-1586
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/06/2014
Last updated
01/22/2016
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