Individual
JASMIN SUZANNE SUN KANEVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, LM, CPM
Contact information
Practice address
337 TRAVIS RD, DECATUR, TX 76234-4945
(682) 365-4448
(682) 842-1027
Mailing address
337 TRAVIS RD, DECATUR, TX 76234-4945
(682) 365-4488
(682) 842-1027
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99300
TX
Other
Enumeration date
08/07/2017
Last updated
12/20/2023
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