Provider Information for 1437738994
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PETER JASTERMSKY LCSW
Sex: Male
NPI: 1437738994
Last Updated: 2022-08-03
Certification Date: 2022-06-15
Certification Date: 2022-06-15
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1437738994 | ||||||||
| Enumeration Date | 2021-04-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 57556 29 PALMS HWY # 68 YUCCA VALLEY, CA 92284-2934 United States Phone: 760-363-2199 | Fax: | ||||||||
| Primary Practice Address | 57556 29 PALMS HWY 68 YUCCA VALLEY, CA 92284-2934 United States Phone: 760-363-2199 | Fax: | ||||||||
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