Provider Demographics
NPI:1184322182
Name:RESURRECCION, JASMIN
Entity type:Individual
Prefix:
First Name:JASMIN
Middle Name:
Last Name:RESURRECCION
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27501 MARTA LN APT 204
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91387-6574
Mailing Address - Country:US
Mailing Address - Phone:818-585-4339
Mailing Address - Fax:
Practice Address - Street 1:27501 MARTA LN APT 204
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91387-6574
Practice Address - Country:US
Practice Address - Phone:818-585-4339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula