Individual
DOMINIQUE JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
701 HIGHLAND AVE, MADISON, WI 53705-2202
(608) 263-5200
Mailing address
701 HIGHLAND AVE, MADISON, WI 53705-2202
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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