Individual provider · Type 1 NPI
Jaszmin Lacole Gray, NP
Adult Health Nurse Practitioner · Torrance, CA
NPI number
1235504614
Active
Practice location
3565 Del Amo Blvd
Torrance, CA 90503-1637
Mailing address
3829 Don Tomaso Dr, #4
Los Angeles, CA 90008-5310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 642488 (CA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 95003223 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1235504614
Jaszmin Lacole Gray, NP's National Provider Identifier is 1235504614, issued on Dec 10, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Torrance, CA. The record was last updated on Dec 14, 2015.