Individual
MS. JASMINE LAVON HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6118 BELFIELD AVE, PHILADELPHIA, PA 19144-1013
(215) 391-3553
Mailing address
6118 BELFIELD AVE, PHILADELPHIA, PA 19144-1013
(215) 391-3553
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305602
PA
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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