Individual
MISS JAZMINE SHARAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 CANAL ST, NEW ORLEANS, LA 70119-6020
(504) 483-2486
Mailing address
6619 MARISOL DR, HOUSTON, TX 77083-1237
(832) 689-9956
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
46406
LA
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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