Individual
MS. KASSANDRA ELEANOR JARAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 EAST PINE KNOLL DR, FLAGSTAFF, AZ 86001-8600
(928) 523-5122
Mailing address
2329 W MISSION TIMBER CIR, FLAGSTAFF, AZ 86001-0768
(949) 573-0367
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/24/2020
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