Individual
MISS JAZMINE CLARE ALMAZAN BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868
(714) 509-3700
Mailing address
127 N PARKER ST APT B, ORANGE, CA 92868-5024
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95007949
CA
Other
Enumeration date
01/29/2018
Last updated
08/21/2018
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