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Jasmine B Moghadam, NURSEPRACTITIONER
Family Nurse Practitioner in San Dimas, California
NPI 1962169375

Jasmine B Moghadam is a Family Nurse Practitioner based in San Dimas, CA and is specialized in Family. Jasmine B Moghadam practices in San Dimas, CA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Jasmine B Moghadam is 1962169375 and holds a License No. 95018978 (California).

The current practice location address for Jasmine B Moghadam is 1335 Cypress St, San Dimas, CA and can be reached out via phone at 909-542-2896.

Location: 1335 Cypress St, San Dimas, CA, 91773-3537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962169375
Provider Name
Jasmine B Moghadam
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
1335 Cypress St, San Dimas, CA, 91773-3537
Phone Number
909-542-2896
Fax Number
Provider Enumeration Date
11/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1335 Cypress St
City
San Dimas
State
California
Zip
91773-3537
Phone Number
909-542-2896
Fax Number
person
Provider Business Mailing Address Details
Address
1335 Cypress St
City
San Dimas
State
California
Zip
91773-3537
Phone Number
909-542-2896
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95018978 (California)
Definition
Definition to come...
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