Jasmine Davis

NPI #1366990152 in Omaha, Nebraska

Provider Information

NPI Number: 1366990152
Entity Type: Individual
Name: Jasmine Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Sep 21, 2016
Last Updated: Sep 21, 2016

Practice Location

Address: 1941 S 42ND ST
City: Omaha
State: Nebraska
ZIP Code: 68105-2982
Phone: (402) 459-0346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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