Individual
MISS JASMINE CAASIA PETERSON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8745 BROADWAY AVE, CLEVELAND, OH 44105-5388
(800) 275-8777
(216) 271-5722
Mailing address
12908 FERRIS AVE FL 2, CLEVELAND, OH 44105-5553
(216) 972-1190
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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