Provider Demographics
NPI:1457657769
Name:DANA, JASMINE JANAY
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:JANAY
Last Name:DANA
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 1:7100 GRAND MONTECITO PKWY
Mailing Address - Street 2:#2093
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-0282
Mailing Address - Country:US
Mailing Address - Phone:661-472-8280
Mailing Address - Fax:
Practice Address - Street 1:7100 GRAND MOTECITO PKWY
Practice Address - Street 2:#2093
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-0282
Practice Address - Country:US
Practice Address - Phone:661-472-8280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner