Provider Demographics
NPI:1104554591
Name:HUMBLE, JASMIN MARIE (MS & MA)
Entity type:Individual
Prefix:
First Name:JASMIN
Middle Name:MARIE
Last Name:HUMBLE
Suffix:
Gender:F
Credentials:MS & MA
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Other - Credentials:
Mailing Address - Street 1:7608 VISTA VIEW LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37924-3860
Mailing Address - Country:US
Mailing Address - Phone:805-665-8737
Mailing Address - Fax:
Practice Address - Street 1:4760 SEPULVEDA BLVD
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-4820
Practice Address - Country:US
Practice Address - Phone:310-390-6612
Practice Address - Fax:310-398-5690
Is Sole Proprietor?:No
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/Coder