Individual
JAZMINE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2551 N CLARK ST, CHICAGO, IL 60614-1798
(310) 946-2039
Mailing address
2551 N CLARK ST, CHICAGO, IL 60614-1798
(310) 946-2039
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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