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Individual

JASMINE CAMPOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
220 E HORIZON DR STE H, HENDERSON, NV 89015-8001
(702) 577-5977
Mailing address
220 E HORIZON DR STE H, HENDERSON, NV 89015-8001

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F2024161
CA DRL
NV
Enumeration date
01/17/2018
Last updated
01/17/2018
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