Individual provider · NPI-1

Jazmine Dunnavant

Technician/Technologist, Optician · El Paso, TX

NPI number1023879640
StatusActive
Last updated in NPPESJan 22, 2024

Details

NPI
1023879640
Entity type
Individual (NPI-1)
Name
Jazmine Dunnavant
Sex
Female
Sole proprietor
No
Enumeration date
Jan 22, 2024
Certification date
Jan 20, 2024
Last updated
Jan 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician254077TXYes

Practice location

7831 Paseo Del Norte Blvd
El Paso, TX 79912-8001

Phone 915-730-6361

Mailing address

7831 Paseo Del Norte Blvd
El Paso, TX 79912-8001

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