NPI 1205652526

Jazzmine Holland

Practitioner Prosthetic/Orthotic Supplier Los Angeles, CA

Practice location

Address: 5665 Wilshire Blvd # 1257, Los Angeles, CA 90036-3710
Phone: (248) 445-0061

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1205652526
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2024
Record last updated: 2 Dec 2024

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.