Individual
MRS. JASMIN HARGREAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
871 ENBORG CT., SUITE 100, SAN JOSE, CA 95128
(408) 885-7855
(408) 885-7854
Mailing address
871 ENBORG CT STE 100, SAN JOSE, CA 95128-2645
(408) 885-7855
(408) 885-7854
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
25770
CA
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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