Jasmine Vitacco
Nurse Practitioner, Family in Woodland Hills, CA. Individual provider (NPI-1).
NPI number1114600855
StatusActive
Last updated in NPPESAug 9, 2023
Details
- NPI
- 1114600855
- Entity type
- Individual (NPI-1)
- Name
- Jasmine Vitacco
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2023
- Certification date
- Aug 9, 2023
- Last updated
- Aug 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95024858 | CA | Yes |
Practice location
6041 Variel Ave Apt 430Woodland Hills, CA 91367-3858
Phone 682-561-7385
Mailing address
6041 Variel Ave Apt 430Woodland Hills, CA 91367-3858
Phone 682-561-7385
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