JASMINE KIM LONG

PHOENIX, AZ
NPI1134751811
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: AZ  SLPA11042)
Enumeration Date2020-02-10
Last Update Date2020-02-10
Business Address
JASMINE KIM LONG
15201 N CENTRAL AVE
PHOENIX, AZ 85022-3641
Phone number: 602-502-4397
Mailing Address
JASMINE KIM LONG
14221 N 51ST AVE APT 1058
GLENDALE, AZ 85306-2541
Phone number: 928-273-9626
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