Jasmine Latasha Ross
NPI #1417396102 in Seaside, California
Provider Information
- NPI Number
- 1417396102
- Entity Type
- Individual
- Name
- Jasmine Latasha Ross
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Voluntary or Charitable
- Enumeration Date
- Jun 17, 2013
- Last Updated
- Jun 17, 2013
Practice Location
- Address
- 1069 BROADWAY AVE
- Address 2
- SUITE201
- City
- Seaside
- State
- California
- ZIP Code
- 93955-4996
- Phone
- (831) 392-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Voluntary or Charitable |
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