Jasmine B Moghadam, NURSE PRACTITIONER
NPI #1962169375 in San Dimas, California
Provider Information
- NPI Number
- 1962169375
- Entity Type
- Individual
- Name
- Jasmine B Moghadam, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Nov 19, 2021
- Last Updated
- Jun 8, 2022
Practice Location
- Address
- 1335 CYPRESS ST
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-3537
- Phone
- (909) 542-2896
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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