Provider Demographics
NPI:1700356805
Name:LIMA DELCHAMBRE, JASMINE (MANAGER)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:LIMA DELCHAMBRE
Suffix:
Gender:F
Credentials:MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 S STEPHANIE ST # B177
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-5501
Mailing Address - Country:US
Mailing Address - Phone:702-296-3654
Mailing Address - Fax:
Practice Address - Street 1:209 S STEPHANIE ST # B177
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-5501
Practice Address - Country:US
Practice Address - Phone:702-296-3654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist