Doctor Name: | JASMIN LILY ESHRAGH |
NPI Number: | 1003200734 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.N.S. |
License Number: | 4170 |
Business Practice Address: | 400 Taylor Blvd Suite 101 Pleasant Hill, CA - 945232147 |
Business Phone Number: | 9258258878 |
Business Fax Number: | 9258258613 |
Mailing Address: | 400 Taylor Blvd, Suite 101 PLEASANT HILL |
State: | CA |
Postal Code: | 945232147 |
Phone Number: | 9258258878 |
Fax Number: | 9258258613 |
NPI Enumeration Date: | 03/19/2015 |
NPI Last Update Date: | 03/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SX0200X |
License Number: | 4170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Oncology |
Taxonomy Definition: |