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NPI Code Detail

MEDICARE: MRS. JASMINE DANIELS

MEDICARE: MRS. JASMINE DANIELS
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
1172V00000XCommunity Health WorkerNV20151047993NV

General Provider Information

NPI Number : 1982091286
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JASMINE DANIELS
Provider Business Mailing Address
First Line : 5801 W. LAKEMEAD BLVD.
Second Line : APT#1046
City : LAS VEGAS
State : NV
Zip : 89108
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5801 W LAKE MEAD BLVD
Second Line : APT# 1046
City : LAS VEGAS
State : NV
Zip : 89108-3100
Country : US
Telephone Number : 702-929-0232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2015
Last Update Date : 04/24/2015

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Directions to “ MRS. JASMINE DANIELS ” Practice Location

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