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Individual

JASMINE TODD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5885 KINGSTOWNE BLVD, ALEXANDRIA, VA 22315-5702
(703) 922-0220
Mailing address
5885 KINGSTOWNE BLVD, ALEXANDRIA, VA 22315-5702

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101004346
VA

Other

Enumeration date
11/25/2025
Last updated
11/25/2025
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