Individual
JASMINE HERMOSILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
200 BROADHURST RD, JACKSONVILLE, NC 28540-3551
(910) 455-2211
Mailing address
2040 PINEHURST PL, POMONA, CA 91766-5757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30005536
NC
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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