Individual
JASMINE CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 W 5TH ST STE 100, ODESSA, TX 79761-5035
(432) 332-1623
Mailing address
540 W 5TH ST STE 100, ODESSA, TX 79761-5035
(432) 332-1623
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
168121
TX
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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