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Individual

TERROLYN TAMARIS JASMINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2100 ELLEN PARK PLACE, NEW ORLEANS, LA 70131
(504) 393-7855
(504) 393-7855
Mailing address
2100 ELLEN PARK PL, NEW ORLEANS, LA 70131-1951
(504) 393-7855
(504) 393-7855

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
273263588
CHILDCARE POVIDER
LA
Enumeration date
05/04/2012
Last updated
05/04/2012
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