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Jasmine Smith

Case Manager/Care Coordinator in Moreno Valley, CA. Individual provider (NPI-1).

NPI number1356908081
StatusActive
Last updated in NPPESAug 21, 2023

Details

NPI
1356908081
Entity type
Individual (NPI-1)
Name
Jasmine Smith
Sex
Female
Sole proprietor
No
Enumeration date
May 29, 2019
Certification date
Aug 21, 2023
Last updated
Aug 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
106S00000X Behavior Technician––

Practice location

15323 Avenida Fiesta
Moreno Valley, CA 92555-4119

Phone 323-244-3161

Mailing address

15323 Avenida Fiesta
Moreno Valley, CA 92555-4119

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