Provider Demographics
NPI:1346540051
Name:YEH, JASMINE L (RPH, MS)
Entity Type:Individual
Prefix:MRS
First Name:JASMINE
Middle Name:L
Last Name:YEH
Suffix:
Gender:F
Credentials:RPH, MS
Other - Prefix:
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Mailing Address - Street 1:657 VARESE CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6397
Mailing Address - Country:US
Mailing Address - Phone:510-896-9869
Mailing Address - Fax:510-921-3132
Practice Address - Street 1:28505 HESPERIAN BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-5008
Practice Address - Country:US
Practice Address - Phone:510-921-3135
Practice Address - Fax:510-921-3132
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARPH44683183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist