Individual
MRS. JASMINE BLAKE HOLLYWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LDN, CNS, ORDM
Contact information
Practice address
2021 N LEMANS BLVD UNIT 1121, TAMPA, FL 33607-1135
(813) 500-0085
Mailing address
2021 N LEMANS BLVD UNIT 1121, TAMPA, FL 33607-1135
(813) 500-0085
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND11493
FL
Other
Enumeration date
08/19/2022
Last updated
08/28/2022
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