Individual
JASMINE PHYLICIA RENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6515 BELCREST RD # 1104-A, HYATTSVILLE, MD 20782-2010
(323) 514-5945
Mailing address
6515 BELCREST RD # 1104-A, HYATTSVILLE, MD 20782-2010
(323) 514-5945
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/04/2020
Last updated
04/04/2020
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