Individual
JASMINE TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
230 N NELLIS BLVD, LAS VEGAS, NV 89110-6002
(702) 452-2020
Mailing address
519 S HIDALGO AVE, ALHAMBRA, CA 91801-4047
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1172
NV
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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