Individual
JASMINE UBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 N MORRISON BLVD STE 105&106, HAMMOND, LA 70401-2242
(985) 551-5155
(985) 551-5222
Mailing address
1406 HOOKS DR, HAMMOND, LA 70401-2214
(985) 634-1475
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2018
Last updated
10/21/2018
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