Individual
JAZMIN ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
114 GILBERT ST, JOHNSTOWN, PA 15906-3212
(814) 248-1649
Mailing address
114 GILBERT ST, JOHNSTOWN, PA 15906-3212
(814) 248-1649
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30186098
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30186098
PHARMACY TECHNICIAN LICENSING BOARD
—
Enumeration date
03/29/2023
Last updated
03/29/2023
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