ERIC JACOB JEMISON

SPOKANE VALLEY, WA
NPI1881128353
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  OP61065129)
Additional Taxonomies207Q00000X Family Medicine
(Licence: UT  10939795-1204)
Enumeration Date2017-04-11
Last Update Date2021-06-02
Business Address
ERIC JACOB JEMISON D.O.
16528 E DESMET CT STE B3100
SPOKANE VALLEY, WA 99216-3522
Phone number: 509-944-9440
Mailing Address
ERIC JACOB JEMISON D.O.
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 509-944-9440