Individual
JASMINE VALENCIA TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-6864
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C03264
MD
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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