Individual
JASMINE SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2548 E EVERGREEN AVE, WEST COVINA, CA 91791-2828
(626) 643-1281
Mailing address
2548 E EVERGREEN AVE, WEST COVINA, CA 91791-2828
(626) 643-1281
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
264028
CA
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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