Jasmine Sourivong is a Specialist based in Oakland, CA. Jasmine Sourivong practices in Stockton, CA. The NPI Number for Jasmine Sourivong is 1215655311 and holds a License No. (California).
The current practice location address for Jasmine Sourivong is 2185 W Rose St, Stockton, CA and can be reached out via phone at 510-593-1835.
Location: 2185 W Rose St, Stockton, CA, 94605-2403
Provider Profile Details
NPI Number
1215655311
Provider Name
Jasmine Sourivong
Credential
Provider Entity Type
Individual
Gender
Female
Address
2185 W Rose St, Stockton, CA, 94605-2403
Phone Number
510-593-1835
Fax Number
Provider Enumeration Date
08/16/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
2185 W Rose St
City
State
Zip
95203-1208
Phone Number
510-593-1835
Fax Number
Provider Business Mailing Address Details
Address
2185 W Rose St
City
State
Zip
95203-1208
Phone Number
510-593-1835
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
(California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Badge
Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.