Individual
JAZMIN COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1053 N BRIERWOOD AVE, RIALTO, CA 92376-3992
(909) 543-7604
Mailing address
1053 N BRIERWOOD AVE, RIALTO, CA 92376-3992
(909) 543-7604
(909) 961-2207
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
361800441
CA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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