Individual
JAMIE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4755 OGLETOWN STANTON RD, SUITE LE45, NEWARK, DE 19718-2200
(312) 733-1042
Mailing address
4755 OGLETOWN STANTON RD, SUITE LE45, NEWARK, DE 19718-2200
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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