Individual
JASMINE BANKSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 F ST # 101, FRESNO, CA 93706-1608
(559) 256-0100
Mailing address
1396 W HERNDON AVE, FRESNO, CA 93711-7126
(559) 457-2302
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
06/09/2025
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