Individual
JASMINE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14912 MALLETT RD APT F301, BILOXI, MS 39532-0026
(601) 397-9036
Mailing address
768 CHERRY STONE DR, CLINTON, MS 39056-2015
(601) 397-9036
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2150
MS
347C00000X
Private Vehicle
800978630
MS
Other
Enumeration date
12/25/2024
Last updated
05/12/2026
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