Individual
ELLEN LEE JASMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LM, CNM
Contact information
Practice address
16563 DRAPER MINE RD, SONORA, CA 95370-8411
(209) 533-2300
(209) 533-4600
Mailing address
16563 DRAPER MINE RD, SONORA, CA 95370-8411
(209) 533-2300
(209) 533-4600
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW1433
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H205
CITY HEALTH PLAN
CA
01
—
NMW014330
CA MEDI-CAL PROVIDER #
CA
Enumeration date
11/17/2006
Last updated
07/08/2007
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