Provider Demographics
NPI:1851710917
Name:JOSEPH, JASMINE (DC)
Entity Type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:647 LARCHMONT DR
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-3637
Mailing Address - Country:US
Mailing Address - Phone:650-522-0340
Mailing Address - Fax:
Practice Address - Street 1:420 OLD COUNTY RD
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-3221
Practice Address - Country:US
Practice Address - Phone:650-522-0340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32389111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor