Individual
JASMINE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 CONCERT DR, VIRGINIA BEACH, VA 23456-8082
(757) 668-2929
Mailing address
1316 ELK CT, VIRGINIA BEACH, VA 23464-6367
(804) 432-8359
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
0136000923
VA
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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