NPI 1053991091
Shan Jasper
Practice location
- Address
- 1355 E Black Diamond Dr, Gilbert, AZ 85296-3718
- Phone
- (480) 228-2175
Registered specialties (2)
Nutritionist
Primary
Phlebotomy Technician
Registry record
- NPI
- 1053991091
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Apr 2021
- Record last updated
- 13 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.