Individual
JASMINE M PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2424 40TH AVE APT 6, MOLINE, IL 61265-7215
(708) 831-1705
Mailing address
2424 40TH AVE APT 6, MOLINE, IL 61265-7215
(708) 831-1705
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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