Individual
KEWANA JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 KENNEDY HTS, MADISON, WI 53704-1648
(608) 242-0337
Mailing address
226 KENNEDY HTS, MADISON, WI 53704-1648
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200672
WI
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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