Individual
JASMINE ELAINE SUCCES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1000 W COLLEGE AVE, SILVER CITY, NM 88061-4112
(682) 402-3672
Mailing address
370 N STATE HIGHWAY 360 APT 8303, MANSFIELD, TX 76063-9039
(682) 402-3672
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
725
NM
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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