Individual
JASMINE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 DALLAS AVE, CINCINNATI, OH 45239-4931
(513) 406-1618
Mailing address
1710 DALLAS AVE, CINCINNATI, OH 45239-4931
(513) 406-1618
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PRS.007515
OH
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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