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NPI Code Detail

MEDICARE: JASMINE NOTANEE NAJERA LCSW

MEDICARE: JASMINE NOTANEE NAJERA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCS 27564CA

General Provider Information

NPI Number : 1912286816
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE NOTANEE NAJERA LCSW
Provider Business Mailing Address
First Line : 411 E LAKE AVE
Second Line :
City : WATSONVILLE
State : CA
Zip : 95076-4424
Country : US
Telephone Number : 831-728-6445
Fax Number :
Provider Business Practice Location Address
First Line : 411 E LAKE AVE
Second Line :
City : WATSONVILLE
State : CA
Zip : 95076-4424
Country : US
Telephone Number : 831-728-6445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2011
Last Update Date : 06/05/2024

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