Individual
VANESS JASMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 E HWY 50 STE 101, CLERMONT, FL 34711-5107
(407) 818-2406
Mailing address
1134 FRAZIER AVE, ORLANDO, FL 32811-3912
(707) 290-6905
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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