Individual
MRS. DESIREE DAWN JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
87 W MAIN ST, DRYDEN, NY 13053-8706
(607) 844-3304
Mailing address
3746 US ROUTE 11, MARATHON, NY 13803-3919
(607) 283-1664
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030452
NY
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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