JESSICA JAMISON

SHREVEPORT, LA
NPI1194871731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
(Licence: LA  5319389001)
Enumeration Date2007-01-26
Last Update Date2007-07-08
Business Address
Miss JESSICA JAMISON Provider
7505 PINES RD STE 1255
SHREVEPORT, LA 71129-3923
Phone number: 318-687-9929
Mailing Address
Miss JESSICA JAMISON Provider
7505 PINES RD STE 1255
SHREVEPORT, LA 71129-3923
Phone number: 318-687-9929