Individual
JASMIN VILLAVICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3565 MARC DR, STERLING HEIGHTS, MI 48310-4388
(586) 883-1995
Mailing address
3565 MARC DR, STERLING HEIGHTS, MI 48310-4388
(586) 883-1995
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
4704202734
MI
Other
Enumeration date
08/30/2022
Last updated
11/13/2023
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