Individual
JASMINE PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3612 PERA AVE, EL PASO, TX 79905-2412
(915) 465-1191
(915) 444-8142
Mailing address
3612 PERA AVE, EL PASO, TX 79905-2412
(915) 465-1191
(915) 444-8142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11725
TX
Other
Enumeration date
12/29/2017
Last updated
09/06/2023
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