Individual
JASMIN SARA CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1712 NEWPORT BLVD, COSTA MESA, CA 92627-3010
(562) 712-6551
Mailing address
1712 NEWPORT BLVD, COSTA MESA, CA 92627-3010
(562) 712-6551
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95023628
CA
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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