Individual
MRS. JAIME LEE CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
8333 NAAB RD, INDIANAPOLIS, IN 46260-5924
(317) 338-6666
(317) 338-6066
Mailing address
8333 NAAB RD, INDIANAPOLIS, IN 46260-5924
(317) 338-6666
(317) 338-6066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001000877
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0708PA
—
SC
Enumeration date
09/12/2007
Last updated
02/25/2013
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