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Individual

DR. WENDY V JAMISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4224 HOUMA BLVD, SUITE 350, METAIRIE, LA 70006-2933
(504) 780-9112
(504) 888-1715
Mailing address
4224 HOUMA BLVD, SUITE 350, METAIRIE, LA 70006-2933
(504) 780-9112
(504) 888-1715

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
016217
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1358134
LA
Enumeration date
07/18/2005
Last updated
02/29/2012
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