Individual
MS. JAZMIN SARA LEOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3083
(626) 204-1360
Mailing address
2951 RAYMOND AVE, ALTADENA, CA 91001-4841
(626) 720-7520
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
704870
CA
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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