Individual
MS. JAMISEN JEWELL GAUNTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SHADY PARK LN, BONO, AR 72416-9581
(870) 586-3368
Mailing address
101 SHADY PARK LN, BONO, AR 72416-9581
(870) 586-3368
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
5038
AR
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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