Individual
JASMINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5412 BOULDER HWY, LAS VEGAS, NV 89122-6039
(702) 291-7121
Mailing address
5600 E RUSSELL RD UNIT 122, LAS VEGAS, NV 89122-8005
(702) 420-0865
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
04/07/2022
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