Individual
JASMINE PALMIANO HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6195 LUSK BLVD STE 250, SAN DIEGO, CA 92121-3715
(858) 859-1188
Mailing address
6195 LUSK BLVD STE 250, SAN DIEGO, CA 92121-3715
(858) 859-1188
(844) 404-8924
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
54230
CA
363AM0700X
Medical Physician Assistant
—
LA
Other
Enumeration date
07/31/2015
Last updated
11/02/2022
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