Individual
JAZMIN BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 BERTRAM DR UNIT K, YORKVILLE, IL 60560-3210
(915) 861-2616
Mailing address
128 BERTRAM DR UNIT K, YORKVILLE, IL 60560-3210
(915) 861-2616
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
041.547572
IL
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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