Individual
SANDRA M JAMIESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
593 EDDY STREET, GRAD DORMS, PROVIDENCE, RI 02903
(401) 444-4038
(401) 444-7074
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00121
RI
Other
Enumeration date
07/07/2005
Last updated
07/22/2019
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