Individual
JASMINE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 ADELINE ST, BERKELEY, CA 94703-2407
(400) 251-0601
Mailing address
3161 DAVIS ST APT A, OAKLAND, CA 94601-2606
(510) 963-6491
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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