Individual
JAMIE VOLLMERHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
910 RUSH DR, SALIDA, CO 81201-9665
(719) 539-6637
Mailing address
910 RUSH DR, SALIDA, CO 81201-9665
(719) 539-6637
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004782
CO
Other
Enumeration date
09/27/2016
Last updated
04/07/2020
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