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Individual

JASMINE BRUNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7077 BURCOT AVE APT 100, LAS VEGAS, NV 89156-6180
(916) 277-4155
Mailing address
7077 BURCOT AVE APT 100, LAS VEGAS, NV 89156-6180
(191) 627-7415

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E1478457
MEDICAL
CA
Enumeration date
12/26/2021
Last updated
12/26/2021
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