Individual
JASMINE GABRELLE MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 COLTS NECK RD, RESTON, VA 20191-2843
(301) 257-3007
Mailing address
10317 SALTBUSH CT, WALDORF, MD 20603-3263
(301) 257-3007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009625
VA
225X00000X
Occupational Therapist
09698
MD
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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