Provider Demographics
NPI:1154984524
Name:ALOCOZY, JASAMIN MICHELLE
Entity type:Individual
Prefix:
First Name:JASAMIN
Middle Name:MICHELLE
Last Name:ALOCOZY
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 1:7707 HILLVIEW CT
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95304-9198
Mailing Address - Country:US
Mailing Address - Phone:209-640-8277
Mailing Address - Fax:
Practice Address - Street 1:11820 DUBLIN BLVD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2830
Practice Address - Country:US
Practice Address - Phone:925-875-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-20
Last Update Date:2019-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95126620163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse