Individual
JASMINE MARYAM MIRDAMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3590B PELHAM PKWY # 184, PELHAM, AL 35124-2034
(775) 525-8825
Mailing address
5440 COPPER CANYON RD UNIT C, YORBA LINDA, CA 92887-3929
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
39061
CA
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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