JASMINE SOURIVONG

STOCKTON, CA
NPI1215655311
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Enumeration Date2022-08-16
Last Update Date2022-08-16
Business Address
JASMINE SOURIVONG
2185 W ROSE ST
STOCKTON, CA 95203-1208
Phone number: 510-593-1835
Mailing Address
JASMINE SOURIVONG
7200 BANCROFT AVE STE 267
OAKLAND, CA 94605-2403
Phone number: 510-593-1835
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