Individual
TAEISHA JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6716 WICKER AVE # 1, HAMMOND, IN 46323-1410
(872) 201-0720
(219) 245-6841
Mailing address
6716 WICKER AVE # 1, HAMMOND, IN 46323-1410
(872) 201-0720
(219) 245-6841
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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