Individual
JASMEN KESHISHEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 N CENTRAL AVE, #110, GLENDALE, CA 91203
(818) 244-8155
(818) 956-0258
Mailing address
460 MYRTLE ST, #107, GLENDALE, CO 91203
(818) 241-7247
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH54857
CA
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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