Jasmine Ahdout
Physician Assistant in Vallejo, CA. Individual provider (NPI-1).
NPI number1619704632
StatusActive
Last updated in NPPESSep 14, 2024
Details
- NPI
- 1619704632
- Entity type
- Individual (NPI-1)
- Name
- Jasmine Ahdout
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2024
- Certification date
- Sep 14, 2024
- Last updated
- Sep 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
1310 Club DrVallejo, CA 94592-1187
Phone 707-638-5809
Mailing address
1310 Club DrVallejo, CA 94592-1187
Phone 707-638-5809
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